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There are three likely contributing reasons for changing RRs over time: 1) the changing intensity of smoking over time, 2) decreasing mortality rates in never-smokers and 3) the time-lag from smoking to peak mortality harm

10.3390/cancers1208229232824092 37 Cullen KA, Gentzke AS, Sawdey MD, et al

Sadly, while FDA acknowledged the importance of tobacco harm reduction, that does not seem to be the direction the agency is moving

Whatever be the cause or the time, the fact is you started it when it did not seem to matter as much

In 2009 U.S

Vaping may reduce exposure to some toxins found in cigarettes, but it introduces new chemical risks that affect oral health in different ways