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Most guidelines recommend abrupt smoking cessation; however, gradual cessation is common. Reducing cigarettes per day (CPD) with nicotine replacement therapy (NRT) increases cessation among smokers who are not ready to quit.1 However, whether gradual reduction is effective for smokers who want to quit now is unclear.2
This randomised controlled trial compared gradual cessation (ie, reduction in CPD) with abrupt cessation among smokers ready to quit (N=697). The gradual-cessation group received 2 weeks of NRT patches, short-acting …
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