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Studies of nicotine medications and smokeless tobacco indicate that the risks of nicotine without tobacco combustion products (cigarette smoke) are low compared to cigarette smoking but are still of concern in people with cardiovascular disease. The elephant in the room, of course, is the long-term impact of nicotine addiction

cigarettes very quickly reveals how different the two are

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Donna Richardson (photo, left, by Steve Hockstein), a certified tobacco treatment specialist, is the clinic coordinator for the Tobacco Dependence Program and an instructor at Rutgers School of Public Health in Piscataway, NJ