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Combining a 21mg nicotine patch with other short-acting nicotine replacement therapies, like gum or lozenges, can be effective for managing breakthrough cravings, but it should be done under medical supervision to avoid nicotine overdose
PMID 17971108 Chan SS, Leung DY, Abdullah AS, et al
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The more heavily you smoke, the greater your risk is, although even light smoking is considered dangerous, especially when combined with birth control pills
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