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When lower-risk products are taxed at levels that make them less affordable than combustible cigarettes, the system may unintentionally protect the market position of the highest-risk product

Asia Pacific Clove Cigarettes Market Estimates and Forecasts, 2018 - 2030 (USD Billion) 7.4.2

The "Practical Guide for Perioperative Smoking Cessation published by the Japanese Society of Anesthesiologists states that smoking is associated with various postoperative respiratory and other complications such as delayed wound healing and surgical site infection, and strongly recommends preoperative smoking cessation to reduce perioperative risks [93] (evidence level: B)

Ultimately, though, nicotine is controversial not because of the limited health risk it poses but because of its addictiveness