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The dominant microorganisms of CTLs play a major role in the degradation of aromatic compounds, hydrocarbons, aliphatic compounds, and lignin, and the structure of the microbial community composition varies from region to region, making cigar tobacco flavor highly variable

Relapse is common because nicotine is highly addictive, but it does not mean failure

2006;15(sup1):s8091

However, for those adults who would otherwise continue to smoke, switching completely to vaping or heated tobacco products could be a better choice than continuing to smoke.

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Recommendation 4.1: Evaluate the effectiveness of the intervention plan until the clients goals are met