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Discussion of the risks and rewards is most useful if the patient does not express a desire to be a nontobacco user, whereas a focus on the roadblocks addresses patients who want to stop using tobacco products, but express a lack of confidence in their ability to quit

Since they only deliver nicotine without the harmful carcinogens found in traditional tobacco products, their health impact is much lower

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The processing also plays a role: depending on how often the base tobacco has been washed, the flavour and strength change