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There was no clear risk reduction for coronary heart disease compared with continuing heavy smokers after 14 years follow-up (adjusted relative risk 1.06), in contrast to a relative risk of 0.67 for quitters.74 However, a large reduction in risk of lung cancer was seen in the group who reduced consumption (relative risk 0.44).75 In the second study (51 210 adults), 4.2% of heavy smokers (at least 15 cigarettes per day) reduced their consumption by at least 50% but continued to smoke when recorded three to 13 years after baseline