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In its Scientific Summary , it stated among other things (emphasis in color added by SPMH): Based on currently available evidence, using current generation e-cigarettes is less harmful than smoking cigarettes , but the health effects of long-term use are not known. In its Clinical Recommendations, it stated among other things (emphasis in color added by SPMH): To help smokers quit, the ACS recommends that clinicians advise their patients to use FDA-approved cessation aids that have been proven to support successful quit attempts. Some smokers, despite firm clinician advice, will not attempt to quit smoking cigarettes and will not use FDA approved cessation medications

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Effective management of tobacco use and dependence requires a coordinated interdisciplinary approach, including collaboration with the patient/client in order to provide patient-centered care

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However, as you prepare for this journey, there is an elephant in the room we need to address