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73 An example of a digital tobacco cessation program is BecomeAnEx. 74 Created by The Truth Initiative in collaboration with the Mayo Clinic and offered through either simple text messages or online help videos and resources, the BecomeAnEx program has recently added e-cigarette programs to encourage youth to reach out for help by providing them real-time responses to their questions and concerns, as well as providing daily motivation to quit

Nicotine Replacement Products People who are using nicotine patches, gum or other nicotine replacement products will test positive for both nicotine and cotinine

Other factors, such as anatomy and lifestyle, also play a role

Reporting bad or very bad general health was more than 2.5 times as common in current smokers than those who have never smoked (12.2% and 4.7%, respectively) [footnote 9]