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Awareness of these totals is increasingly part of how health professionals, financial advisers, and public health campaigns communicate the real cost of the habit

McKeel is also on the staff of the Durham-Chapel Hill-Carrboro Metropolitan Planning Organization, which oversees transportation strategies in those cities

"She's lucky she's alive," he said.

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But Suzanne Colby, the deputy director of Browns Center for Alcohol and Addiction Studies and a professor of behavioral and social sciences, pointed out that the drawbacks of nicotine addiction counteract the potential upsides of the drug