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Several of the nurses who commented on the SMYS Facebook page said they started to smoke because everyone else in the hospital was smoking

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EVALI and the pulmonary toxicity of electronic cigarettes: a review

Nicotine replacement products used under clinical guidance carry a clear protocol with a defined endpoint

Treatment should be individualized to accommodate heaviness of smoking and any outstanding disease states like acute coronary syndromes and cardiovascular disease. She also notes that studies have found that combination therapies, such as using bupropion hydrochloride or varenicline together with nicotine replacement, are more effective than any single therapy used on its own

There is also rising concern over the impact of vaping on children