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doi:10.1136/thx.2008.102947

Offering a prescription for nicotine replacement to a patient who is in the precontemplation stage is unlikely to be successful, because doing so essentially asks the patient to move from precontemplation to action without going through the necessary intervening stages

The FDA regulates tobacco products but evaluates them based on public health standards rather than the traditional safe and effective medical product criteria

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For example, e-cigarette use resulting in satiation of the desire for novelty in the diversion hypothesis and in feeling emboldened to take risks in the catalyst hypothesis are non-specific mechanisms

Successful recovery from substances of abuse demands reconfiguring the brains neural pathways entirely, via neuro therapies that target areas of dysfunction and help to reduce and clear the brains addictive responses