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After one year follow-up, both the ex-smokers and dual users experienced a significant improvement in asthma symptoms and lung function, especially small airways obstruction. Although the improvements in lung function were small, the improvements in asthma symptoms were clinically relevant.

In this cross-sectional study, a sample of adults who smoked at any point in the past 12 months was identified from a national household survey conducted in England between 2009 and 2014. Criteria for inclusion in the study were: (1) having made a serious quit attempt in the past year; (2) having used e-cigarettes alone, NRT alone, or an unaided quit attempt during their most recent quit attempt; and (3) not having used a prescription cessation drug or behavioral counseling during their most recent quit attempt.


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