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If the patient does use tobacco, was the patient counseled about/referred for tobacco use prevention or cessation programs?10 The NCI guidelines recommend a much more involved role for the physician and the office staff
And the overall cost to society is an estimated 43.7 billion a year in England (ASH Spending Review Submission)
Nicotine can act as both a stimulant and a sedative
In many of the countries with the highest usage, the use of chewing tobacco and other smokeless tobacco products is associated with important cultural practices or social norms 6,7
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