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Participants in a randomized clinical trial with smokers in California and North Carolina reported that the Surgeon General's warnings made them think about the warning message only a little (an average of 2.3 on a scale of 1 to 5) and made them think about the harms of smoking only somewhat (an average of 2.9 on a scale of 1 to 5) (Ref

According to NHIS, adults aged 25 years and over with a general educational development (GED) diploma were more likely to be current smokers than those with any other level of education (CDC 2004b)

The result is a no-compromise full-strength product that serves smokers for whom intensity requirements trump aesthetic or lifestyle considerations

It is often described as a cognitive behavioural therapy, or talking therapy (or self-help in its written form) which engages with smokers and has them correct their understanding of what causes them to smoke