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For people who have unsuccessfully attempted other interventions, are otherwise unwilling to try other interventions, or express a strong preference, practitioners may engage in shared decision-making regarding the possible use of e-cigarettes with or without nicotine

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In fiscal year 2024, the states will collect $25.9 billion from the tobacco settlement and taxes, but they will spend just 2.8% of it $728.6 million on tobacco prevention and cessation programs for people of all ages, less than a quarter of what the CDC recommends

Because nicotine is very addictive, it is extremely difficult to stop, but it is not impossible