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To begin, you refer him to substance use counselling, and suggest: acamprosate for AUD (NNT~11 for abstinence over 12-52 weeks) 51 nicotine replacement and varenicline (NNT~13 over 6-12 months for smoking cessation) 44 If he develops troublesome withdrawal or struggles with ongoing substance use despite your assistance, you could refer him for support through an addiction medicine clinic or obtain additional support from telemedicine resources including British Columbias 24/7 Addiction Medicine Clinician Support Line: www.bccsu.ca/24-7

[ Ib ] Aimer P, Treharne GJ, Stebbings S, Frampton C, Cameron V, Kirby S, Stamp LK

When you inhale that smoke, those toxins enter your lungs regardless of the source

surgeon general's famous report, "Smoking and Health," linked smoking to cancer

study showed that of smokers who indicated worrying about their mental health during the pandemic, 42% reported smoking more than they did before the pandemic, while only 21% said they smoked less