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While nicotine can have a stimulating effect, its still an addictive substance that requires moderate use

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Cigarette smoking kills more than 480,000 Americans yearly, according to the Centers for Disease Control and Prevention

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But this latest effort differs significantly in two related respects: The campaigners are trying to make peace with tobacco interests and, in doing so, they have forfeited the backing of traditional allies in the health care community by advancing a plan that public health advocates say is too modest to significantly dent the smoking rate in Missouri