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The study further indicated that Phillip Morris internally understood since at least 2006 that its actions (e.g., advertising, lobbying, and litigation) influence addiction by shaping users psychology, social milieu, and environment. As such, the researchers suggested that to curb smoking governments would need to enhance social and environmental restrictions on cigarette smoking. The study drives a poignant point that is supported by current smoking trends

John Puls, a psychotherapist and addiction specialist who runs Full Life Comprehensive Care in Boca Raton, Florida, said the trend away from cigarettes but continued use of tobacco and e-cigarettes mirrors what he sees with patients