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Smoking with a Kashmiri tube is not highly harmful to your health

There was high certainty that quit rates were higher in people randomized to nicotine e-cigarettes than in those randomized to nicotine replacement therapy (risk ratio [RR]1.63, 95% confidence interval [CI] 1.30 to 2.04) and moderate-certainty evidence, limited by imprecision, that quit rates were higher in people randomized to nicotine e-cigarettes than to e-cigarettes without nicotine (RR 1.94, 95% CI 1.21 to 3.13)

They may work and look similar to electronic nicotine delivery systems or electronic cigarettes (particularly vape pens) but they have been officially approved by authorities all over the world to be used as a tool for quitting smoking

Additionally, hundreds of additives are also incorporated during the manufacturing of cigarettes