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While early generation E-cigarettes were associated with lower dependence than cigarettes, this may not apply to modern high nicotine pouches, which deliver nicotine efficiently (10, 15)

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The second reason is that it is inefficient

We also conducted a systematic review of primary studies on the benefits and harms of e-cigarettes for smoking cessation that identified 17 randomized controlled trials (RCTs) and 1 cohort study,23 which we compared with a Cochrane living systematic review on e-cigarettes24 in January 2025

Following the ruling, President Trump announced plans to implement a new 10% global tariff under Section 122 of the Trade Act of 1974 and to pursue additional trade actions under Section 301