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Flavor substances conceal the harshness of tobacco smoke [8], encourage the initiation and experimentation of tobacco use [10], decrease the perceived harm associated with smoking tobacco [11, 12], and contribute to the sustained use of tobacco [8]

However, as noted in a World Bank Group report, even those farmers who may already want to shift from tobacco to alternative crops often find themselves caught in a cycle of dependence on tobacco firms

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But 1 to 2 hours later, these effects are gone and withdrawal sets in unless you have another cigarette," she says

Multiple studies have shown that people in treatment for substance use and mental health conditions are more successful with their treatment if they quit smoking