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The FDA says approved medications, including nicotine replacement therapy and varenicline,have been proven to be safe and effective and should be the first line of therapeutic treatment for adults seeking to quit smoking. FDA Commissioner Robert Califf recently said the term harm reduction has been co-opted by the tobacco industry as a vast advertising campaign during a hearing of the U.S

A CDC study published in April 2017 in Preventing Chronic Disease found that many adults use e-cigarettes to quit smoking, but most dont stop smoking cigarettes and instead continue to use both e-cigarettes and regular cigarettes

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