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After a failed attempt in the 1990s and early 2000s, backed by an enormous advertising push to convince the smoking public that switching to smokeless tobacco or the newly introduced product, snus, would be a better alternative for enjoying tobacco (based on what was called the Swedish experience, which has never been replicated elsewhere), harm reduction proponents became intrigued with the even newer electronically heated nicotine vapor products that emerged from China

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Ernesto Gonzaga, a gastroenterologist from the Hospital of the University of Pennsylvania, told ABC News