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After an individual has smoked for some years, the avoidance of nicotine withdrawal symptoms and negative reinforcement become the key motivations to continue

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With this funding support, well have the chance to continue our work with the community to see how well the Tobacco Quitline support available to every American does at helping people quit menthol products, and also see the impact of an added incentive program that weve tested with our partners in Michigan, said Lara Coughlin, Ph.D., an addiction psychologist at the U-M Addiction Center and the Michigan Medicine Department of Psychiatry

If we look at snus, for example, they have a high percentage of people who use tobacco, but they use snus and they don't smoke