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"We hypothesized that people who received coupons would be more likely to relapse, but we were surprised by the magnitude of the effect," said lead author Jidong Huang, a professor in the Department of Health Policy and Behavioral Sciences at Georgia State University School of Public Health

Within years of cessation, former smokers experience measurably lower stroke rates, better respiratory health, and improved immune system function, with many finding their overall quality of life and longevity substantially enhanced

In Japan, where the product has been most successful and faces no competition from e-cigarettes, youth use is minimal