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Instead, there is a clear need to aggressively optimize medical therapy which represents one potentially modifiable variable to offset the multiplicity of negative cofactors associated with active smoking status that likely have a detrimental role in the course and severity of IBD, yet are not so easily modifiable, including socioeconomic and educational status, dietary behaviors and medication (non)adherence

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When I told my doctor that Id begun substituting cigarettes with a vape and was even slowly decreasing the amount of nicotine in my Cherry Cheese Cake flavor, she was thrilled