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If you could choose, do you want to be hit by a freight train or a minivan? Spangler said, adding that when it comes to smoking just one cigarette a day, Yes, it is less risky, but its still very risky. If a patient says to me, I want to quit smoking 20 cigarettes a day, but I think I can only cut down to one [cigarette] a day, I tell them that there is some harm reduction, Spangler said

Nicotine is one of the most addictive substances known to science, harder to quit than alcohol or caffeine and just as powerful as drugs most people consider hard. Big Tobacco has spent decades exploiting that power, disguising it behind flavors, devices and branding, but understanding the truth about nicotine is the first step to breaking its hold for good

PMID 15360037