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The smoke is never inhaled but is pushed down the back of the mouth and up the sinuses

Among cancer survivors, both exclusive cigarette smokers and dual users had higher mean concentrations of urine nicotine metabolites (i.e., nicotine equivalents [TNE2], and cotinine), NNAL, cadmium, volatile organic compounds (VOCs), and 8-isoprostane than non-tobacco users

People can switch from cigarettes to nicotine replacement products, such as gum or nasal sprays

Restricting flavour descriptions can make products less appealing to children and young people, without deterring adults from using vapes to help stop smoking (Taylor and others, 2025c)