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Author and Guideline development description The guideline was developed by Registered Nurses Association of Ontario

Badham et al., 2021)

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Make sure you dont smoke in the same care that your parents use

Evaluate and adjust based on usage patterns: If using more than 10 pouches daily consider moving up in nicotine strength If experiencing discomfort try lower nicotine strength If cravings aren't satisfied try higher strength Heavy smokers typically start with 6mg strength, then either maintain that level or gradually work down to 3mg as tolerance adjusts

Change Smoke is also associated with metamorphosis and change