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The AAFP supports the USPSTF clinical preventive service recommendation on this topic: that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents

Understanding your options and what to expect Delivery timing and how the process works General questions before you decide How Tobacco Use Affects Liver Health Whilst the specific link between chewing tobacco and fatty liver remains unclear, tobacco use in generalparticularly cigarette smokinghas well-established negative effects on liver health through multiple mechanisms

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