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For pack-a-day smokers, the Geek Bar Pulse at 5% nicotine in average usage delivers roughly equivalent daily nicotine most users report adequate satisfaction within 12 weeks of switching

However, these studies had limitations, such as low patient numbers or study design concerns, resulting in controversial conclusions

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Of youth past-month e-cigarette mono-users in Wave 1 (n = 151), 15.2% transitioned to cigarette mono-use and 8.2% dual-use at Wave 2 or 3 or 4, compared to 60.2% no tobacco use and 16.4% e-cigarette mono-use