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One way this happens is a result of the increased effort involved in rolling a cigarette as opposed to simply picking one out of a pocket and lighting it, which often reduces the number of cigarettes smoked
Public Health Service Clinical Practice Guideline, Treating Tobacco Use and Dependence 2008 Update recommends providers use the 5As method (Ask, Advise, Asses, Assist & Arrange Follow-Up) to help treat tobacco dependence
White CM, Hammond D, Thrasher JF, Fong GT
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