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While these products are designed for smokers and ex smokers, there is concern about marketing to non smokers, especially young adults, which has prompted ongoing discussions about responsible advertising and product placement

[70] The atomizers and heating coils possibly contain aluminum

youth has been attributed in part to the heavy marketing of these products with youth-resonating themes, as well as the widespread availability of youth-appealing flavors." In January, the National Academies of Sciences, Engineering and Medicine issued a report saying that e-cigarettes may be a less dangerous way to use tobacco, and may help established smokers reduce their immediate risk of death and disease, but they can hook teens and young adults and raise their risk of becoming smokers.

Prioritising effectiveness over cost and embracing innovative methods, such as behavioural therapy, can bridge the gap, propelling doctors to the forefront of a tobacco-free era in India." The research highlights the importance of science-backed policy making to empower doctors, researchers, and medical practitioners to explore and recommend safer options