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After 15 years of not smoking cigarettes, the risk of developing coronary heart disease falls to the level of a non-smoker

Implications for practice David Shiers The positive recruitment and retention to this trial is evidence in itself that people with severe mental illness are concerned about smoking and interested in finding effective ways to quit Practitioners should routinely ask their patients about smoking status and, if they wish, help them access effective smoking cessation services Health systems should provide smoking cessation interventions that are responsive to the needs of people with severe mental illness

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Secondhand smoke also poses risks to fertility, affecting partners and potentially leading to fertility issues for non-smokers