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Of course I dont smoke them, I chew them

If the behavior started in childhood but worsens in adulthood, or if you notice it alongside substance use, ask for a full assessment

Abrams points out that e-cigarettes create a tension between those who believe in "abstinence" and those who believe in "harm reduction." My own general view is that while it's fine in many famioly and educational contexts to suggest that abstinence would be a sensible individual decision, public policy should focus less on enforcing abstinence and more on offering opportunities for harm reduction

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