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Third, we do not conduct biochemical confirmation of patients smoking and drinking behavior (such as the concentration of cotinine in urine and phosphatidylethanol in the blood, respectively) but based on patients self-reports
The effects of Tobacco addiction include severe physiological deterioration, cognitive impairment, and destructive behavioral patterns

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Other health risks, such as gum recession, tooth decay, and even systemic effects from absorbing nicotine through your mouth, all make their way onto the list
