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If your goal is complete substitution of cigarettes with a smoke-free nicotine pouch while maintaining similar overall intake, stepping up to 6mg can make the transition smoother by matching your familiar nicotine comfort level more closely

[57] There are several other toxic compounds in tobacco that constitute serious health hazards to long-term smokers from a whole range of causes

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To assist an individual, the provider (physician, nurse, nurse practitioner) needs to follow the Public Health Service 5As model: Ask each patient if they smoke Advise all smokers to quit Assess the smokers willingness to quit (readiness) Assist with the quitting Arrange appropriate follow-up contact both with the provider and others such as counselors This all takes some time, but it is essential to high rates of success

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