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This may determine why the CDS-5 identifies higher cigarette dependent smokers in the population context while the FTCD does the same in the clinical context, particularly among men

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"Tobacco, whose goodnesse mine own experience and triall induces me to be such, that no country under the Sunne, may, or doth affoord more pleasant, sweet and strong Tobacco, then I have tasted," Ralph Hamor, a secretary of the colony, wrote in 1614

Tobacco use also reduces your mouths saliva production, resulting in dry mouth