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Its a practice that combines the worst aspects of both products

Coping skills : Individuals who possess effective coping strategies and healthy coping mechanisms may have a better ability to manage the challenges and emotions that arise during the quitting process

References Smokings Death Toll WHO Tobacco Statistics Smoking-Attributable Morbidity, Mortality, and Economic Costs CDC Tobacco Effects CDC The Health Consequences of Smoking Preventing Tobacco Use Among Youth and Young Adults Smoking and Tobacco Use Surgeon Generals Report 2001 CDC Number of Deaths from 10 Leading Causes Tobacco and Environment FTC Cigarette Report for 2012 Cigarette Butts Are Toxic Waste Environmental Impact of Tobacco Risks Associated with Smoking Cigarettes with Low Machine-Measured Yields of Tar and Nicotine

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Some of the studies relied on selfreporting by the participants and not always on biochemical verification, such as a carbon monoxide breath test or cotinine tests