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10.1161/CIRCRESAHA.117.311586 Summary Keywords electronic cigarettes, nicotine, heart failure, cardiovascular disease, atherosclerosis Citation Espinoza-Derout J, Shao XM, Lao CJ, Hasan KM, Rivera JC, Jordan MC, Echeverria V, Roos KP, Sinha-Hikim AP and Friedman TC (2022) Electronic Cigarette Use and the Risk of Cardiovascular Diseases

Snus has been available in Sweden for decades and is the only smoke-free product that is supported by decades of epidemiological data that demonstrates that smokers who switch to snus are at lower risks of developing many smoking- and tobacco-related diseases, making it a better choice for adults than continuing to smoke cigarettes

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However, Costa Rica decriminalized recreational smoking like its Central American compatriot Belize