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This transitional step helps individuals strengthen their commitment to nicotine-free living while reintegrating into daily routines

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For example, some studies suggest that oral cancer can develop within five years of regular tobacco use, while others suggest that it can take up to 30 years to develop

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The quitters and the reducers tended to have high prevalence of hypertension, dyslipidemia, and CKD, accompanied with longer duration of DM, higher number of oral antidiabetic agents and more use of insulin than the sustainers