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Participants clearly undermined cessation efforts in the absence of willingness and the lack of readiness to quit

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After spitting and cursing at the tobacco and scraping my tongue, I did a very thorough job of ridding this demon from this particular pipe

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Among teens, 38.5% of those receiving the text message intervention achieved dual abstinence from both nicotine e-cigarettes and cannabis, compared to 25.0% in the control group a 13.5% advantage