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The European Respiratory Society (ERS) smoking cessation guidelines do not currently recommend the use of such electronic products

The median gap between highest and lowest cigarette smoking prevalence among counties within the same state in 2012 was 14.7 percentage points for males and 13.6 percentage points for females

In addition, rates of e-cigarette use are higher than cigarette use among young adults ages 18-24, singe/never married individuals, lesbian/gay individuals, and those working in the education sector

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In contrast, Zyn nicotine pouches are a modern alternative