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Nevertheless, characterizing the independent health effects of age at smoking initiation has been challenging, and its influence on cardiovascular risks has not been fully established

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Note remission or withdrawal when applicable : If the patient previously had nicotine dependence but is no longer actively dependent, the provider should document remission

Getting tobacco in your throat or stomach will lead to vomiting and increase the chances of long-term health issues, so try to avoid swallowing any of the chew or chew-tainted spit

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