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Changes in Smoking Cessation Effectiveness from E-cigarette Use E-cigarettes in the UK are increasingly evolving along a "harm reduction tool" pathway, transitioning from a "smoking cessation aid" to a "cigarette substitute." Dual users (daily smokers + daily e-cigarette users) plummeted from 44% in 2015 to 14% in 2025, indicating a significant weakening of concurrent daily dependence on both products