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It cancels out any minor benefit from avoiding cigarette smoke

In fact, in Chantix studies, the placebo group's attempt to stop smoking on day #8 (as instructed by Pfizer) puts them exactly where they were in NRT studies on day #1, punished by the onset of early withdrawal

However, it is important not to follow a rigid, recipe-style approach to managing VLS since there is no single regimen that suits all patients

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