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It appears that participants may be overconfident about their ability to make the complete switch to e-cigarettes

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The care Philip Morris paid to the packaging was shown by subtle changes they made to the original design

Overall, the National Academy of Sciences report on e-cigarettes found that there is conclusive evidence that completely substituting e-cigarettes for combustible tobacco cigarettes reduces users exposure to numerous toxicants and carcinogens present in combustible tobacco cigarettes. 97 See National Academies of Science, Engineering, and Medicine, Public Health Consequences of Ecigarettes