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While not much is known about the long-term risks, and though closed systems appear to be less risky than open systems, the best advice may be to educate adolescents on the risks of both systems and encourage them not to pick up the habit in the first place

When outdoors, throw the butt down near you, and step on it, twisting your foot on top of it before removing your foot to ensure it has gone out completely

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Instead, if a lower dose is needed, switch to a commercially available lower-strength patch, such as 14mg or 7mg, as part of the step-down program

Smokin' Cigarettes Randall King 21