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Nicotine dependence was assessed using the Fagerstrm test for nicotine dependence (FTND) 11 , while withdrawal symptoms were measured using the Minnesota Nicotine Withdrawal Scale (MNWS) 12 and the Tobacco Craving Questionnaire (TCQ) 13-15
Repeated exposure to heated smoke or vapors from smoking will change the physical appearance of the palate so that it looks white or gray
Some studies suggest a threshold effect, with minimal impairment at lower exposures but measurable declines beyond ~20 joint-years
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