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Ethical approval Ethical approval for the current study was obtained from Imam Mohammad Ibn Saud Islamic University Institutional Review Board with project number 724/2024 and registration number HAPO-01-R-061

The patient, his or her family, and the doctor will probably recognize when the patient has reached the point that hospice care is necessary

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53 However, because NRT has the potential to cause fetal harm and because of insufficient evidence supporting its efficacy in pregnant women, the 2008 clinical practice guideline does not recommend use during pregnancy

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