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Studies with treatment-seeking smokers reveal that sleep problems in the first week can predict relapse risk four weeks later [2], which is precisely why I always prepare my clients for this phase and equip them with the right tools to navigate it successfully

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Using e-cigarettes normalizes smoking, she said, and is linked to an increased likelihood of using typical cigarettes or tobacco products. For this reason, vaping and electronic cigarette use should be included in discussions of risky behavior with teens, she said