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To reduce the spread of HSV, the AAD recommends that people with cold sores avoid: giving or receiving oral sex sharing personal items, such as towels and toothbrushes kissing, as the virus is more contagious when the blisters are open touching the sores sharing foods and beverages with other people The AAD also suggests that people avoid eating acidic foods, such as tomatoes and citrus fruits, as these can cause pain

Wait at least 1 to 2 hours until the local anesthesia wears off completely

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Patient tobacco status Specific strategies for cessation were discussed Approval to counsel and interest in cessation Link the CPT code for tobacco cessation to diagnosis codes like Z71.6 (tobacco use counseling) or F17.200 (nicotine dependence)