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Cancer risk factors such as tobacco use, poor nutrition, physical inactivity, and excessive alcohol use are also leading drivers of other chronic diseases, such as cardiovascular disease, respiratory diseases, fatty liver disease, and diabetes (80)

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Guidance in the 2019 CMS Web Interface measure PREV-10 (NQF 0028) Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention states: If a patient uses any type of tobacco (ie, smokes or uses smokeless tobacco), the expectation is that they should receive tobacco cessation intervention: either counseling and/or pharmacotherapy

But it is the mental health responses to this process that are reported to cause the greatest amount of distress, and push those trying to quit back toward their addiction