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"Clinicians need a more nuanced approach that incorporates other ways to identify and quantify cigarette use, like smoking status and smoking intensity," Miao said, noting that whether it's smoking one cigarette a day or one a week, no amount of smoking is safe, and quitting remains the best thing someone can do for their health

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[62] An officer with the North Carolina Department of Public Safety described the conflicting laws: "We're in limbo trying to figure out what we can and cannot do," [63] As of January 2026, North Carolina Alcohol Law Enforcement does not enforce the federal law