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HARBOUR: Most of the time, yeah

However, there is clear evidence that this is in part at least due to the relief of withdrawal after a period of not smoking, even as little as a few hours

Smoking causes more than one in five deaths in America

The study team examined the suitability of these codes for use in genetic association analyses and found that ICD-9 tobacco use codes could identify smokers in a general clinic population, there was little evidence of documentation bias, and frequency of code transitions between current and former tobacco use was significantly correlated with initial success at smoking cessation