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Some adult smokers prefer them because they feel classic or are associated with specific product lines

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Reduced HRV in general populations is associated with an increased risk of coronary artery disease (CAD) and death.[ , , ] Similarly, acute tobacco smoke exposure is associated with significant HRV changes.[] Smoking cessation is associated with an immediate increase in HRV.[ , ] However, there is no study exploring the acute effects of tobacco chewing on HRV or incidence of ectopic heartbeats

Behavioral therapy, such as cognitive-behavioral therapy (CBT), can help individuals identify and change negative patterns of thinking and behavior that contribute to substance abuse

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