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The problem with the product is that it is highly addictive and there is no clear regulatory system to ensure it is not abused

The addictive chemical is the main reason why cigarette smoking or tobacco use is associated with high blood glucose, insulin resistance, and an increased risk of cardiovascular disease

That said, one study showed that offering smoking cessation after substance use disorder treatment rather than during actually produces better substance use outcomes with similar rates of smoking abstinence

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Although in theory total abstinence is desirable to achieve this goal (one cannot be against virtue), the reality remains that many people are unable to quit using current smoking cessation tools and therefore remain at risk of dying prematurely