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Nicotine without tobacco, when used in moderation, is not a major health issue, but Im concerned about the need for increasing doses, says Frank Etscorn, Ph.D., professor emeritus at New Mexico Tech and inventor of the nicotine patch in 1986

People with mental and/or substance use disorders are more than twice as likely to smoke cigarettes as people without such conditions and are more likely to die from a smoking-related illness than from a behavioral health condition, CDC noted, yet many people aren't screened for tobacco use in behavioral health facilities

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This strategy of selecting the participants based on cervical biopsy results was more precise and sensitive than cytology