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Experience from countries like the UK in effective smoking cessation and relapse prevention shows that nicotine literacy with behavioural therapy can empower the healthcare practitioners to treat their patients tobacco addiction with adequate nicotine replacement for long enough, so as to help them stay away from dangerous effects of tobacco permanently

However, credible studies have already delivered concerning results indicating that dual use might be even more harmful than conventional smoking. The review brings together 16 individual studies looking at whether groups of dual users went on to quit smoking, switch to vaping only, switch to smoking only, or continue dual use over time

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