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Similarly favourable scientific assessments have been published in respect of oral products such as snus which brings with it a wealth of epidemiological evidence about its role in reduced smoking-related morbidity and mortality from Scandinavia.[12][13][14][15] And, while there have been more cautious assessments in relation to heated tobacco products (alternatively called heat-not-burn devices), these have also been shown to sit significantly lower on the spectrum of risk when compared to cigarettes and other combustible tobacco products.[16][17] Figure 1 How is the safer nicotine product market growing

Before nicotine alternatives Cigarettes dominated nicotine consumption

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Menthol does not appear to alter the cytotoxic effects of tobacco smoke