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Heat-not-burn is newer and growing fast, but its usage is still much lower, especially among younger adults

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The Vaping Gateway The introduction of e-cigarettes around 2010 has slowed the decline in youth smoking

For more information regarding nicotine addiction and smoking cessation programs, check out the following resources: Smokefree (smokefree.gov) Quitline (1-800-QUIT-NOW) Centers for Disease Control and Prevention fact sheets on various topics including smoking cessation, health effects of smoking like lung cancer, smokeless tobacco like e-cigarettes

One such trial is a 2022 study with 613 male participants, which reported that chewing tobacco may have similar effects on testosterone production as smoking cigarettes