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Lower strengths produce a smaller acute catecholamine response and a smaller blood glucose spike

for people trying to quit smoking, the review said, it is currently not clear whether heated tobacco products provide any advantage as an additional potential harm reduction product. A 2019 German government assessment similarly concluded that because heated tobacco products still pose substantial health risks, they should not be the first option to decrease smoking-related harm. But as smoking rates fall in the U.S

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Despite the risks, the CDC's most recent survey found that in 2009, 15 percent of high school boys used smokeless tobacco a more than one-third increase over 2003, when 11 percent did