I've used them without any problem in books published via Smashwords. You just can't guarantee that they'll translate as page breaks in all the formats Meatgrinder produces, so have to format around the page break so that it works with or without the page break itself (e.g. also include some sort of scene break indicator and/or a couple of blank lines). But in the EPUB and MOBI formats, the page break worked fine, with each new chapter starting at the top of the screen.
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