Attitudinal approaches should be accompanied by simple behavioral modification techniques (eg, relaxation response, oral substitutes) that move beyond the pharmacologic methods of the conventional nicotine addiction model (ie, the patient as an addict) and toward a consumerist approach-the thinking patients technique. The consumerist model (Table 1) places less emphasis on the physiologic aspects of nicotine addiction and related cessation strategies and more emphasis on a linguistic-based approach In which sociocultural factors are considered and the individual who smokes is encouraged to think in new ways about his or her behavior and how it might be modified
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It should come as no surprise, therefore, that cigarette smoking is the number one preventable cause of illness and death in the United States, accounting for more than 435,000 deaths each year
Opened pouches or improperly sealed jars allow air contact, which gradually flattens flavor and turns the smoke harsh
Reputable manufacturers should provide clear information about the contents of their products, including nicotine levels, flavorings, and other additives
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