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As the harm-reduction pioneer Michael Russell said, in 1976, People smoke for the nicotine, but they die from the tar. And so people keep looking for healthier ways to deliver a fix

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The debate regarding tobacco harm reduction and the role of smokeless tobacco as part of a public health strategy to reduce cigarette smoking - as opposed to what has been characterized as the "quit or die" approach - has accelerated dramatically ever since the publication in 2001 of a 600-page report by the respected Institute of Medicine (1OM)

1,2 For patients diagnosed with AMD and diabetic retinopathy, smoking increases their risk of serious vision loss