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However, some studies, including a 2007 report from the Royal College of Physicians in London titled Harm Reduction in Nicotine Addiction, suggest that some smokeless tobacco products are about 90 percent less harmful than cigarettes

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Respondents who received other services (i.e., support services from a support group or from a peer support specialist or recovery coach, services in an emergency room, or withdrawal management services) 89,91 but not substance use treatment and who sought or thought they should get additional professional counseling, medication, or other treatment in the past 12 months for their use of alcohol or drugs also were classified as having a perceived unmet need for treatment

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We moved quickly, scaling our community of retailers and the support we offered