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Louisiana State University Press

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A diagnosis is made if at least two of the three key symptomsmanifesting impaired control, prioritizing substance use over other activities, and exhibiting tolerance or withdrawalare present

Document the patients current tobacco use status, type of tobacco products used, quantity and frequency of use, and any prior quit attempts

If you use a heat management device, start with a loose and fluffy initial pack so that the tobacco gently falls off your fingertips into your hookah bowl for optimal enjoyment