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It is possible that some participants stopped smoking or smoked fewer cigarettes during the Observational Phase because they were receiving a supply of Study Sticks for free, and that their use of Study Sticks in place of cigarettes may not have continued once they were required to purchase Study Sticks with their own money during the Follow-up Phase

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In addition, ICD-10 guideline I.C.20.a.1

First, curbs on smoking would have to be strengthened, principally by ramping up taxes on tobacco