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•Majority of tobacco users go through periods of remissions and relapses
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 Health professionals lack of knowledge of the chronic nature of the problem may affect their motivation to treat smokers.

 
• There is no “ONE SIZE FITS ALL” in treating tobacco dependence. Several options must be considered.
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Health professionals must not identify success as the permanent abstinence; relapses must be accepted.

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Counseling works with diabetic, hypertensive patients and it works too with smokers.