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This raises an important question: should we return to prescribing varenicline by default, or is it time to consider cytisine as a first-line treatment

As the FDA says, "for adults who smoke, switching completely from cigarettes to nicotine pouches may reduce exposure to many harmful chemicals found in cigarettes." This assessment is supported by a 2023 randomized, controlled study, which found that people who switched from cigarettes to nicotine pouches had significantly lower exposure to harmful chemicals within just one week

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Vaping can cause severe lung damage

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