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Some research has conceptualized how smoking affects sleep, for example, nicotine impacts on the release of neurotransmitters that affect the sleep-wake cycle 11 , nicotine withdrawal, which occurs while sleeping 12

et al, (2026), Cochrane Database of Systematic Reviews, 3 Are there differences in gradual versus abrupt smoking cessation quit attempts and success by social grade

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In the case of beneficiaries who have received care management services from a practitioner within the practice in the past year, we believe this indicates that the patient is also an established patient in that the patient has an existing relationship with the practice, and the patient previously has consented to the receipt of care management services, which have overlapping service elements with APCM services

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