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Existing literature about patientprovider communication regarding cigarettes has focused on the comprehensiveness and communication skills of those delivering cessation 16 , factors associated with implementing the 5As (ask, advise, assess, assist, arrange) behavioral intervention method among pregnant women 17 , and using communication of personalized disease risk to motivate smoking cessation 18

Severe weakness, trouble breathing, or chest pain all require urgent medical attention

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Conclusion Review of the literature suggests more thorough evidence-based studies are needed to establish the efficacy of ENDS for tobacco cessation, for the use of ENDS products in harm reduction efforts, and the health effects of ENDS use over time