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The same goes for quitting any nicotine-containing product, like chewing and pipe tobacco, cigars, and nicotine patches and gum, says Chauncy Eakins, MD, of Clinical Neuroscience Institute

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Nicotine dependence (also called tobacco addiction) involves physical and psychological factors that make it difficult to stop using tobacco, even if the person wants to quit, thus it can take many attempts, so it is important to keep trying

Tobacco use is the leading preventable cause of death in Oregon and the nation