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National Certification There are several pathways to national certification as a tobacco treatment professional

Its a performance

The adverse consequences of khat-chewing range from mild emotional instability and irritability to more severe ones such as impaired cognitive functioning, chronic gastritis, constipation, anorexia, weight loss, cirrhosis, urinary retention, impotence, tachycardia, arrhythmia, hypertension, vasoconstriction, and myocardial infarction.9,1416 It is also claimed to be associated with impotence in men and increased sexual desire in women.17 However, the reported adverse effects cover a vast spectrum of medical issues and may not be amenable to focused intervention [Figure 2]

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For people on probation, theres a risk of going back to jail