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33 While aerosols from HTPs appear to be less harmful than cigarette smoke, they may still induce changes

For instance, many smokers dont realize they may already have emphysema or chronic bronchitis, the two forms of chronic obstructive pulmonary disease (COPD)

however, meta-analyses of RCTs, 18,19 observational studies, 2022 and a large RCT including participants both with and without mental illness 23 have not supported a causal link

But unless nicotine is pretty much eliminated quickly and comprehensively in all available tobacco products which seems unlikely it runs a serious risk of making things worse as smokers smoke cigarettes harder in order to get the nicotine they need, leading to more exposure to the harmful tar. Linda Bauld, deputy director of the UK Centre for Tobacco and Alcohol Studies and professor of health policy at the University of Stirling agreed that the move could end up exposing smokers to higher levels of toxins