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As an environmental risk factor, smoking exerts conflicting effects on patients with IBD, as current smokers have an increased risk of developing Crohns disease (CD), as well as an increased risk of adverse effects and exacerbation of symptoms in individuals with disease, compared with individuals who have never smoked 16

Most participants had completed at least a diploma-level education (78.1%), and more than two-thirds were employed (68.4%)

Counseling session will be completed over about 5 months on an approximately twice a month schedule tailored to the individual patients needs

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