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The Brief Case for Tobacco Harm Reduction Though there are active debates about many aspects of the science of reduced-risk products, the following foundational insights are indisputable: Noncombustible nicotine products are far less dangerous than smoking products, though they should not be assumed to be risk-free

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Not only are these women at increased risk of the general harms associated with smoking, but also several additional pregnancy specific risks

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Rappaport seemed to pull in on his assessment about causality a little: "It's certainly possible that these are related