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"Cigarette smoking, even experimentally, among children of any age should be strongly discouraged." The research, published Wednesday in the Journal of the American Heart Association, uses information from children and adolescents who were ages 6 to 19 in the 1970s to 1980s, with follow-up information from many of them as recently as 2018

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Jacobs said the results can be extrapolated to other countries as well

That's a genuine harm-reduction pathway for some smokers, though it's a decision worth making deliberately rather than assuming pouches are automatically the easiest path

Furthermore, nicotine can lower the threshold for cardiac arrhythmias (9)