do cigarettes or alcohol kill more people Frontiers Does alcohol cause more deaths

While exclusive use of oral nicotine pouches may reduce exposure to combustion related toxicants compared with cigarette smoking, dual use maintains chronic nicotine exposure, sympathetic activation, and endothelial dysfunction, thereby potentially diminishing the cardiovascular benefits associated with reduced cigarette consumption

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"Alternatieve tabaksproducten: harm reduction?" [Alternative tobacco products: harm reduction?] (PDF)

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