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Inability to stop using tobacco products, despite making attempts to quit Continuing using tobacco products despite health problems Strong cravings for tobacco Withdrawal symptoms when trying to quit Giving up activities or refusing to attend events/places where tobacco use is not allowed Using tobacco products to deal with stress or feel normal Gradually increasing tobacco use Spending most of the time during the day using tobacco products, at home, work, and other places Tobacco products are legal, easily obtained, and people can consume them in public

In March 2017, during a presentation at Vapexpo in Lyon, Farsalinos said, No, the IQOS is not a safer alternative to a modern e-cigarette which has fewer toxins in its vapour

This was down slightly from 2024, suggesting vape use may be levelling off

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