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Past claims about additive-free tobacco led to regulatory warnings and settlements

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However, mental health services are known to have adopted ways of reinforcing smoking behaviour among psychiatric patients, such as handing out tobacco tickets to people with schizophrenia as a reward for enhanced activities of daily living in psychiatric in-patient facilities and rehabilitation units (Ziedonis Reference Ziedonis, Hitsman and Beckham2008)

3OH-cotinine: = 2.50 [95% CI, 1.98-3.01

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