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[9] The World Health Organization estimates that, annually, more than 7 million people die from tobacco-related causes, including 1 } : CS1 maint: DOI inactive as of July 2026 (link) Endocrine

Is it harder to quit smoking or vaping

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The KSLTDS is more comprehensive than existing scales which focused on either the physical dependence (FTND-ST) 7 or behavioral dependence (GNST-BQ) 11

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But early disclosure to your physician, active symptom monitoring, and eliminating smoking are three steps that can meaningfully change your outcome