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If a higher volume of submissions is received than is currently expected, FDA intends to ensure that entities who submit an adequate plan by the recommended submission date and who work in good faith with FDA to complete its review are not delayed or prevented from distributing or advertising cigarette packages or advertisements due to the agency not having approved their plans by the effective date of the final rule

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How does this manifest clinically in our patients

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The nicotine receptors in your brain increase over time as you continue to smoke, but you are unknowingly increasing your blood pressure, reducing your concentration and experiencing insomnia, anxiety, irritability and a slew of other symptoms of an unhealthy mind and body