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Scott Tomar (CDC): To recommend to smokers that they switch to smokeless tobacco is simply maintaining their addiction. Lepore: Instead, Tomar recommends an already approved nicotine replacement therapy. Tomar: Nicotine patch and gum, both have been found to be effective in treating nicotine addiction. Rodu: Nicotine patch and gum dont provide nearly the same level, or nearly the same spike that smokers crave, and so are not effective for many smokers [Note: ineffective is more accurate, here and here] Lepore: And theres another concern. Dr

He found that introducing free chewing gum along with the soap was a significant spur to sales so much so that his customers began asking for chewing gum without the soap

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That narrow base must be justified by unique costs or considerations related to the taxed activity

However, a paradigm shift has occurred in recent years, with mounting evidence unequivocally demonstrating the deleterious effects of cigarette smoking across the spectrum of liver diseases