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The more general marketing/consumerism literature would defiantly argue that marketing itself can be harmful to our identities, Laestadius said

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32 The frequency and duration of smokeless tobacco use are positively related to the prevalence of leukoplakia

Instead, they focus entirely on replacing the physical ritualthat familiar hand-to-mouth action that has become second nature

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The choice to switch to e-cigarettes must be made easier, she said.