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The health effects require careful consideration and additional research for informed use

[12] A scoping review of studies published in English through December 31, 2024, concluded that HTP use likely contributed to declines in cigarette use in Japan from 2015 to 2018, while finding that evidence after 2018 remained incomplete and did not support definitive causal conclusions

may be moving closer to the Healthy People 2030 goal a national public health target of reducing adult smoking to 6.1%

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