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This combination of reduced protection and maintained acid production creates an environment where even normal gastric acid levels can cause significant pain and tissue damage

In 2019 a massive clinical trial found that when combined with expert face-to-face support, people who used e-cigarettes to quit smoking were twice as likely to succeed as people who used other nicotine replacement products, such as patches or gum and a statement last month from Public Health England has stated that E-cigarettes are at least 95% less harmful than traditional cigarettes

It is suggested to begin with the 18mg even for experienced smokers and then move to 24mg if the user feels comfortable

I have to go outside if I want a cigarette

This lack of guidance from manufacturers exacerbates the environmental impact

However, this decision does not answer every question, but it gives the industry a serious point of reference