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People who are using hormonal birth control and have additional CVD risk factors, such as smoking, may have an increased risk of cardiovascular problems

The FDA emphasized that Moonlight cigarettes are not necessarily safer, but Mitch Zeller, director of the FDA's Center for Tobacco Products, said that they show promise "to help reduce nicotine dependence among addicted smokers." The FDA reports that Moonlight cigarettes are not likely to turn non-smokers into smokers, and that those who do use them are not likely to become addicted to them