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Similarly, EC use modified the oral microbiome in periodontitis patients, enriching Filifactor , Treponema , and Fusobacterium , with similarities to the microbial shifts seen in cigarette smokers

We tried to mitigate this potential bias by including only participants who were willing to use either product and by avoiding any indication that one product may be superior to the other in the information to participants, but despite these provisions more participants in the NRT arm never started product use

Billing tobacco cessation: 99406 and 99407 Smoking and tobacco-use cessation counseling has dedicated CPT codes that pair naturally with F17 diagnoses: CPT 99406 intermediate cessation counseling, 310 minutes CPT 99407 intensive cessation counseling, greater than 10 minutes Medicare covers tobacco cessation counseling for beneficiaries who use tobacco, and commercial payers broadly reimburse 99406/99407 when time and counseling content are documented

Other areas such as tobacco taxation, illicit trade, and industry interference also require urgent attention