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There are many negative effects of chewing tobacco All smokeless tobacco products are harmful, even though they are often promoted as a safer alternative to smoking
Swedish snus comes in consistent doses and has substantially lower levels of carcinogens than cigarettes or other forms of oral tobacco
J Pharmacol Exp Ther
Thus, the use of a psychiatric therapeutic billing code with medical evaluation and management services would be appropriate for the clinician who provides both of the key tobacco dependence interventions documented as effective in the Guideline: counseling and medications
PMID 15995011
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