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These concerns are real and part of the ongoing debate

They tighten up and try to muscle their voice out of the throat too much, and thats got an expiration date on it, he explains

People can change their nicotine content, so to quit smoking they might start off on a higher strength e-liquid and then they can taper down really quite gradually in a much more sophisticated way than they can with NRT, which is probably good for weight maintenance and for weight loss, said co-author Linda Bauld, professor of health policy at the University of Stirling and deputy director of the UK Centre for Tobacco and Alcohol Studies