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In addition to support groups, rehabs often incorporate mindfulness practices to help manage stress and ease nicotine cravings, including meditation, deep breathing, and guided imagery

Over time, the brain learns to associate night with wakefulness and stress, making true rest nearly impossible

DOI: 10.1016/j.addbeh.2008.11.008

NOTE: The FDA banned the sale of ephedra herbal supplements containing measurable levels of ephedrine in 2004 due to an increased risk of stroke, myocardial infarction and sudden death (see ma-huang_ephedra)

This makes the pouches easy to conceal and use in places where tobacco products cannot be used such as at school