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Providers should take a meticulous and careful approach to screening patients for the optimal pharmacologic treatment for tobacco useone that will have the best potential for success and the least possibility of causing any harm or undesirable side effects

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Most smokers start before finishing high school Three out of four high school smokers become adult smokers Kids who smoke 2 or 3 cigarettes a day can get hooked in as short as two weeks Nicotine is poisonousits used as a pesticide, and a drop of pure nicotine can kill a person Nicotine in tobacco absorbs into the bloodstream within 10 seconds, causing the brain to release adrenaline and create a buzz of pleasure and energy As the buzz quickly fades, a person feels tired, a little down, and wants to light up the next cigarette to get that buzz again As tolerance builds, more and more cigarettes will be needed to get nicotines pleasure and prevent withdrawal symptoms This up and down cycle repeats over and over, leading to addiction 40% of teenagers who smoke daily have tried to quit and failed Many people need more than one try in order to quit