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It has shown that 62% of participants receiving both naltrexone and CBT did not relapse into heavy drinking, compared to 40% in the placebo plus CBT group

With that said, in my view, although perhaps a leap, based on the jurisprudence evolving, I believe it would be possible for a Prosecutor under the guise of careless driving to obtain a conviction against a driver smoking while driving

Reduced immunity and increased risk of severe attacks : Smoking impairs the lungs capacity to combat infections, which can result in more frequent asthma attacks and raise the risk of severe, potentially fatal episodes

Drug addiction and drug abuse