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Many people use nicotine as a coping mechanism for stress and anxiety during the challenging early stages of recovery Some individuals develop or intensify their nicotine use while in treatment as they give up their primary substance of abuse Social bonding in treatment often occurs during smoke breaks, creating a culture that normalizes nicotine use Some people enter treatment already dependent on multiple substances, including nicotine Understanding Replacement Addictions Replacement addiction occurs when someone in recovery substitutes one addictive behavior for another