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It is well-known in the medical community that cigarette smoking is a risk factor for strokes

[18] There are many over-the-counter NRT products available, and according to a decades-long study by the Food and Drug Administration, combining NRT products shows no significant health threat

21 , S38S45 (2019)

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Sales data on cigarettes and e-cigarettes and HTPs shows a 2-3% annual decline in cigarettes, whilst e-cigarettes sales increase substantially