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Physicians have created a clinical condition called tobacco use disorder. Its manifestations include: *Persistent desire/unsuccessful efforts to stop using *Failure to fulfill major role obligations due to use * Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by tobacco This medicalization of tobacco use means that physicians can label people who consume combustible tobacco products as patients needing treatment for a medical problem, and may consider them to be irrational addicts, unable to control their own actions