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The ineffectiveness of pharmacological strategies and NRT creates an opportunity for an alternative smoke prevention alternative (CAMH, 2007)

Conditioned cues associated with nicotine use become powerful triggers for craving and relapse

7 However, substantial evidence exists to suggest that nicotine's reinforcing effects alone are not sufficient to account for the intense addictive properties of tobacco smoking and the high relapse rates among smokers after quitting even when provided nicotine in forms other than tobacco

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