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Diabetes Care 33 , 25672572 (2010)

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This dual nature of addiction makes quitting challenging, as individuals must address both the physical symptoms of withdrawal and the psychological habits that reinforce tobacco use

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This dominance underscores the format's deep-rooted presence in the U.S., where both dip and snus have longstanding traditions, and in Nordic Europe, where the Swedish-style snus not only enjoys cultural acceptance but also benefits from a regulatory exemption, sidestepping the EU's oral tobacco ban

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