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Of those who said they had switched, 55.9% (95% CI: 45.166.1%) had changed to a cheaper brand, followed by switching to larger packs or e-cigarettes (small numbers, data not reported)

In contrast, the nicotine content of vapes can vary greatly, with some containing as little as 0mg and others containing as much as 50mg

"Smokers should quit instead of cutting down, using appropriate cessation aids if needed, to significantly reduce their risk," the study authors said

Periodontal disease has been linked to systemic health issues such as heart disease, diabetes complications, and weakened immune response