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Experts aren't sure what causes CHS

"Rip Magazine October 1991 - Life Rules"

Whereas Australia has sought to greatly reduce the availability of safer nicotine products, leading to the proliferation of a thriving black market in the absence of a legal market,[xlv] Aotearoa New Zealand has instead, through proactive encouragement of safer nicotine products, and through regulatory oversight and broadly supportive public health messaging, enabled consumers to make positive changes to their smoking behaviour of their own volition, through the use of these safer products

[DOI] [PubMed] [Google Scholar] 261.Arnott ID, et al

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The results of the experiment are shown in the figure below