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As far as behavior change, it is imperative to quit smoking as early in life as possible, as the among of time passed since complete cessation from cigarettes is more important prolonged exposure to a lower quantity of cigarettes each day. Reference: Association between cigarette smoking status, intensity, and cessation duration with long-term incidence of nine cardiovascular and mortality outcomes: The Cross-Cohort Collaboration (CCC) by Erfan Tasdighi, Zhiqi Yao, Zeina A

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pain increases tobacco urges, while tobacco use worsens pain, creating a cycle between pain intensity and tobacco cravings