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Even though some insurers offer lower rates, many still classify chewing tobacco users similarly to smokers due to the nicotine and harmful chemicals involved

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Pfizer's Patient Information sheet only mentioned vomiting, nausea, abnormal dreams, sleep disturbance and constipation as "the most common side effects." It failed to alert smokers to less frequent yet vastly more serious risks mentioned on varenicline's Full Prescribing Information Sheet, including suicidal thoughts, hallucinations, psychotic events, kidney failure, joint pain, muscle pain and arthritis

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