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Common reasons people start smoking again are withdrawal symptoms, weight gain and stress

17 A 2023 domestic survey indicated that approximately 68.1% of users self-reported an overall improvement in their health after switching from conventional cigarettes to electronic cigarettes, with 18.6% reporting "significant improvement" and 49.5% reporting "slight improvement." Concurrently, about 1% of users self-reported a deterioration in their physical condition after using electronic cigarettes, primarily manifesting as dry mouth and a bitter taste

He subsequently had four more attacks in 1984, 1988, 2000, and 2010