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(13) Given the amplified health risks of dual EC and combustible cigarette use, complete cessation of all tobacco and nicotine products is the major therapeutic goal.(17) Nicotine replacement therapy (NRT), bupropion, varenicline, and cytisine (also known as cytisinicline), when used in combination with CBT, can reduce withdrawal symptoms and cravings, aiding in overcoming nicotine dependence, regardless of the delivery method.(13) Extrapolating from the established success of evidence-based pharmacological treatment for smoking cessation, similar strategies are reasonably applicable to EC users, even as specific guidelines evolve

Some of the appeal might also be nostalgic: In recent years Millennials experimented with indie sleaze, Gen Z revived the Y2K aesthetic, and Tumblr even had a brief resurgence, as my colleague Kaitlyn Tiffany wrote in 2022

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