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Given all that we know about smoking, why do people have so much trouble quitting

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A report by the National Academy of Sciences, Engineering, and Medicine concluded, There is conclusive evidence that completely substituting e-cigarettes for combustible tobacco cigarettes reduces users exposure to numerous toxicants and carcinogens present in combustible tobacco cigarettes. It also found there is substantial evidence that completely switching from regular use of combustible tobacco cigarettes to e-cigarettes results in reduced short-term adverse health outcomes in several organ systems. Regarding THC vaping, we now know that vaping these products, particularly if they come from illicit sources, is linked to serious lung illness and is potentially deadly

women at an early stage might have not stopped smoking at the moment of completing the questionnaire but might have done so later in the pregnancy

If you don't get used to it after a few weeks of smoking, it's easy to choke at the soft and sharp smoke, so the barrier to entry is somewhat higher