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During the first half of the 20th century, tobacco consumption was lower in Japan than in the US and many European countries.1 30 From the early 1950s, tobacco consumption in Japan increased steeply until mid-1970, and since then it has been among the highest in the world.30 Each year, the Japan Tobacco Company publishes estimates of the prevalence of smoking for men and women by decade of age from age 20.31 Their data suggest that, in 2009, 40% of men and 16% of women aged 20-29 were smokers, as were 47% of men and 17% of women aged 30-39

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Treatment Protocol and Session Schedule Most patients benefit from: Week 1-2: 2-3 sessions to adjust to acute withdrawal symptoms Weeks 3-6: 1-2 sessions weekly for craving management and emotional support Weeks 7-8: Relapse prevention sessions to reinforce new behaviours Every session lasts about 45 minutes with 20 minutes of needle time

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