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The risk of CHD is estimated to be two to four times higher in smokers compared to non-smokers, making it one of the most significant cardiovascular consequences of tobacco use

38 The recent NICE guidance on Tobacco harm reduction approaches to smoking 36 advises that a tobacco harm reduction approach may be helpful for people who: May not be able to stop smoking (or do not want to stop) in one step May want to stop smoking, without necessarily giving up nicotine May not be ready to stop smoking, but want to reduce the amount they smoke

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This is distinct from our findings, where health concerns were mentioned more frequently than economy and addiction