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We also need continued study of dual users to determine whether they maintain harm reduction over time. Ahluwalia said that because many individuals who use both e-cigarettes and combustible cigarettes will switch back to exclusively combustible cigarettes over time, there is a critical need for interventions that support those who try to switch to e-cigarettes but fail

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So we would argue again that if someone is thinking of quitting using e-cigarettes then the best thing they can do is to go to stop smoking service and get the behavioural support and pharmacological support that will make their e-cigarettes even more effective

The study the first to report on awareness of synthetic nicotine e-cigarettes among a nationally representative sample of U.S

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