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Chewing tobacco can irritate the stomach lining, which leads to nausea, ulcers, and digestive discomfort

Smoke tends to cling to whatever material it touches, giving off an unpleasant and obvious odor

B Hayden, R Schulting, The Plateau interaction sphere and late prehistoric cultural complexity

As shown in this quality improvement project, Screening to Brief Intervention (S2BI) demonstrates great utility in addressing substance use among adolescents which could encourage clinicians to employ this strategy in their primary care practice

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