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List the primary diagnosis (the main reason for the visit) first

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Key similarities include: Both trigger dopamine release in the brains reward centers Each substance is highly addictive and alters brain chemistry They share overlapping genetic and environmental risk factors Both dramatically increase cancer and cardiovascular risks Using one substance consistently triggers cravings for the other Ready to stop the cycle of smoking and drinking

A doctor may recommend medications, such as ursodeoxycholic acid (UDCA), to alleviate itchiness