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They do accept nicotine in the form of gum, patches, sprays, inhalers, or lozenges, though, because these are medicinal forms of nicotine replacement and because they are not manufactured by the tobacco industry, as are some first and fourth generation e-cigarettes

A smoker 's lips can begin to appear after months or years of smoking or using other tobacco products

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The substances the ASSIST screens for are tobacco, alcohol, cannabis, cocaine, amphetamines, inhalants, sedatives, hallucinogens, opioids, and other drugs

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