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And a world where less harmful alternative forms, efficiently delivering satisfying levels of nicotine, are available for those adults who need or want them. Instead, the FDA prioritized very low-nicotine cigarettes and dropped the ball on that last, essential part: the less harmful alternative forms. Those products, despite considerable and growing scientific evidence of their real-world effectiveness, have been left in limbo

And if they were not effective, then the tobacco companies would not have been historically so opposed to having them, Cunningham said