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Adam Goldstein, a professor of family medicine and director of tobacco intervention programs at the University of North Carolina-Chapel Hill's School of Medicine, told UPI via email

Using a second line drug should be considered only after using first-line or if there are contraindications to first-line

From excavation to the lab, the author's theory of race, history, and ethnography of the people who used the pipes is compelling and thoughtful

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Together these results make clear the huge benefits of enabling smokers to quit