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All were rated as having minor methodological concerns, except two which were rated as having major concerns

It sent customers survey results that said most American Spirit customers smoke less than when they used their old brand, some as much as 50 percent to 70 percent less

Disclaimer The findings and conclusions of this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention or the CDC Foundation

[14] as noted above did not find EC use to be significantly associated with prevalence of functionally important respiratory symptoms (as noted in the section above), they did find exclusive EC use to be associated with worsening of functionally important respiratory symptoms in some analyses, though it depended on the exact cutoff used to denote functionally-important (i.e., 2 vs 3 on a 9-point scale) [14]