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Katherine Heigl Since telling Parade in 2010 she was using electronic cigarettes to help her quit smoking, actress Katherine Heigl has managed to get by without the real deal

In some cases, it can be identified for as long as a year

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Assessing Patients who Smoke Stages of Change in Smoking Cessation One way of categorizing patients who smoke is to determine where they are in the "stages of change." A simple way of doing this is to establish whether and when a patient would be willing to consider quitting: A patient who says "never" or "in more than six months" is in the pre-contemplation stage