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The nicotine addiction also must be addressed and generally consists of a combination of the following: Nicotine replacement therapy (gum, patch, lozenges, inhaler, or nasal spray): Some nicotine replacement products (gum, patches, and lozenges) are available over the counter, under several brand names, but are best used in conjunction with a doctor

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In the effector stage, these antibodies trigger the release of histamines, causing allergic symptoms

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