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Vaping carries much less stigma, so users are less likely to have deeply ingrained beliefs that everybody is against me. One of the unique aspects of incorporating protective behavioral strategies into therapeutic treatments for smoking cessation is the individuals ability to choose what strategies they want to use

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Paulin, MD, MHS Dartmouth-Hitchcock Medical Center Section of Pulmonary and Critical Care One Medical Center Drive Suite 5C Lebanon, NH 03756 Phone: (603) 650-5533 Email: [email protected] Abstract Introduction: A recent study found that the prevalence of chronic obstructive pulmonary disease (COPD) is significantly higher among adults who began smoking cigarettes before (versus after) 15 years of age, independent of current smoking, cigarette pack years, and smoking duration

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