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Cross-sectional studies of US adults report levels of cigarette, vaping, and dual product use among those with SPD more than twice that of those without SPD, with an increased likelihood of both current vaping and daily vaping 22,23

"As a physician, I'm very concerned about tobacco

Counselling and Therapy: Behavioral therapy and counselling can help address the psychological aspects of smoking

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According to the Centers for Disease Control and Prevention, smoking is the cause of up 80-90% of lung cancer, and pain in the upper back and chest is one symptom of lung cancer
