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Therapies to help people stop smoking are safe, effective and may even enhance the long-term success of concurrent treatments for more severe mental health symptoms in individuals with psychiatric disorders by lowering stress, anxiety, depression, and by improving overall mood and quality of life. Cigarette smoking, the leading preventable cause of disease, disability and death in the U.S., has been declining

Since his surgery, its been hard for Brett to accept the way he looks, with only 12 real teeth left

Electronic Cigarettes: A Report Commissioned by Public Health England (Public Health England, 2014)

PMID 11893811

Describe the trend and offer an explanation

Yes there is