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So it's just naive to think, 'If I don't say anything, they won't know about it and stumble upon it.'" Talking with them before the tween years, rather than waiting until late high school - which is common - is best and won't encourage them to misuse substances, Saltz said

Sarah Jarvis noted that smoking also contributes to lots of health issues including heart disease, stroke, type 2 diabetes, dementia and COPD (chronic obstructive pulmonary disease

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One tool, nicotine replacement therapies, includes nicotine patches and gums, among others