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Ethical Approval Ethical approval was not required for this work as it is a scholarly opinion piece that does not involve human subjects, animal research, or empirical data collection

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Upon comparing clinical practice guidelines from various countries around the world 12,13 , it was observed that most guidelines advocate counseling or behavioral support, while only a few guidelines recommended smoking cessation medications without sufficient evidence-based support 4,5

"From the second I saw the card, I thought it was the most magnificent-looking card in the world," recalls Bill Mastro

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