Half of the people in my office go out for smoke breaks.
I've never found it to be fair that employers make accommodations for employees who are addicted to tobacco products, and it is widely accepted in our culture that these people get special treatment. Most other addicts wouldn't even be hired if it was known, except for coffee addicts, but you can have a coffee at your desk while working without polluting your work environment.
So, I have again began my practice of taking smoke breaks.
In my case, they involve walking around the parking lot briskly, mostly while talking to myself, or singing a song, but I think that can be accommodated.
Even if people look at me like I'm crazy.