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Adopting any form of nicotine carries inherent risks due to its addictive nature and its impact on the brain's reward system

A 2022 meta-analysis of existing scholarship concluded that the use of e-cigarettes as a therapeutic intervention for smoking cessation may lead to permanent nicotine dependence. The first thing is that e-cigarettes almost always contain nicotine, Robert Schwartz, a professor at the University of Toronto and Executive Director of the Ontario Tobacco Research Unit, told Salon

Also, someone who is used to smoking cigarettes mainly goes for little cigars, which are not as strong as an original sized cigar but have a punch

Long-term NRT use is considered safer than continued smoking, though it's best done under medical supervision to avoid NRT dependency