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Mazzone suggests: Quitting can be tough

Again, according to Table 1, when quitting is defined as ending the use of all tobacco products, including e-cigs, unassisted quitting was twice as effective at helping smokers arrest their dependence upon nicotine after 12+ months

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Smokeless products may additionally entice and enable smokers to continue to use tobacco, even if driven to quit smoking because of social stigma, harm to their families, or the inconvenience of not being able to smoke in public places