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Also, overexpression of heme oxygenase-1, a stress-induced enzyme that produces endogenous carbon monoxide, has been found to protect dopaminergic neurons from neurotoxicity in an animal model of Parkinsons. In addition, nicotine, a major constituent of cigarette smoke, has been found to be ineffective at slowing the diseases progression in a recently reported clinical trial

low certainty27 , 28), and magnitudes of weight gain for both nicotine and non-nicotine e-cigarettes.28 One RCT provided data on adverse events at 12 months that was of very low certainty,39 and a cohort study reported no serious adverse events or differences in smoking-related diseases at 4 years with nicotine e-cigarettes compared with traditional tobacco smoking (certainty could not be evaluated).49 Conclusions from the Cochrane living systematic review on potential harms were similar.24 Resource use Many behavioural interventions are covered by provincial and territorial health care systems or otherwise provided at no charge (e.g., quit lines), and every province and territory has at least limited coverage or rebate programs for pharmacotherapy, including NRT, which is considered a natural health product.50 53 However, people may have to pay out of pocket for some behavioural services or pharmacotherapy

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