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In other words, fewer Americans smoke, but the ones who still do are mostly buying from a shrinking set of dominant brands, and a growing number of former smokers are using vapor products as their nicotine source

Our Opinion and Debate paper drew on evidence from a range of sources including industry documents and analyses, population surveys, intervention trials and Mendelian randomization analyses

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In practice, the most successful quitters use a combination approach: nicotine pouches for strong cravings, energy pouches during work hours, and herbal snuff or seeds for idle moments