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These symptoms vary in severity and include irritability, anxiety, depressed mood, difficulty concentrating, increased appetite, and sleep disturbances

In some cases, the discoloration might even look like dark spots or patches

Tobacco products, particularly those containing air-cured tobacco, may carry TMV

As illustrated in Therapist 2s final logbook entry, Patient 2 continued to use the OBT despite expressing a desire to discontinue its use, further emphasizing the perception of the tool as an integral, non-negotiable part of the treatment

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