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In Canada, 3 pharmacotherapies (bupropion, nicotine replacement therapy [NRT], varenicline) are approved for smoking cessation,15 , 16 with others available as approved natural health products (e.g., cytisine).16 E-cigarettes (also referred to as vaporizers, vapes, or electronic nicotine delivery systems) might also help users quit tobacco smoking or reduce harms of smoking if a person switches from cigarettes to e-cigarettes.17 No e-cigarette products, however, have been approved for smoking cessation in Canada.18 Preferences for smoking cessation interventions vary, and people may attempt to quit multiple times with different interventions or combinations of interventions before being successful.19 This guideline provides a menu of evidence-based interventions that can be provided or referred to by practitioners to help adults choose options that are accessible to them and best fit with their values and preferences
They are also a delight to smoke
Nicotine abstinence influences the calculation of salience in discrete insular circuits
Nicotine stimulates the release of chemicals in the brain, including dopamine, which gives a temporary feeling of pleasure or relief
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