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In some periods, RYO had a reputation for being relatively more cost-effective per cigarette for some consumers, but policy changes have aimed to narrow that gap over time

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SMART-goal framing works naturally here: Patient will reduce cigarette use from 20 to 10 per day within 30 days, verified by self-report and CO monitoring where available. Build the diagnosis-anchored plan with our treatment plan templates and SMART goals guide

This fact is often referred to as the continuum of risk, with cigarettes generally placed at the most harmful end of the spectrum

Journal of Epidemiology and Community Health