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Addiction : The tobacco content in gutkha can lead to addiction, resulting in cravings, irritability when trying to quit, and withdrawal symptoms such as headaches and mood swings

Smokeless products may additionally entice and enable smokers to continue to use tobacco, even if driven to quit smoking because of social stigma, harm to their families, or the inconvenience of not being able to smoke in public places

The results showed that the combination treatment of nicotine replacement and varenicline was indeed more effective for smoking cessation, with 44.3% of participants abstaining from smoking through the last weeks of the study

[6] He won his first title in September at the Challenge de Catalunya