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The main features from the DSM-5 and ICD-10 are summarised in Table 6.1.1, and include: a strong desire to use tobacco taking tobacco in larger amounts or for longer than intended difficulty in controlling tobacco use spending a great deal of time in obtaining, using or recovering from the effects of tobacco use giving a higher priority to tobacco use than to other activities and obligations continued tobacco use despite harmful consequences tolerance (i.e., increasing tobacco use to achieve the desired effect or diminished effects from the same amount of tobacco use)

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Practice Committee of the American Society for Reproductive Medicine