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[12] A scoping review of studies published in English through December 31, 2024, concluded that HTP use likely contributed to declines in cigarette use in Japan from 2015 to 2018, while finding that evidence after 2018 remained incomplete and did not support definitive causal conclusions

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This is because of increasing consumer demand, cultural acceptability in nations such as India and Bangladesh, rising disposable incomes, and wider retail distribution

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