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Working with a trusted practitioner is essential to weigh these factors, assess individual tolerance, and establish boundaries around dosage and duration

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The trend toward the use of filter cigarettes does not appear to have reduced the risk of coronary heart diseaseSince the addiction is to nicotine, people who smoke low-nicotine cigarettes undergo compensatory smoking, in which they inhale more frequently and more deeply Benefits from stopping smoking can be demonstrated at all ages The risk of sudden {cardiac] death decreases immediately upon stopping smoking and the risk of myocardial infarction decreases within a few years of stopping to a level similar to that of men who have never smokedThree fourths of myocardial infarctions in women below the age of 50 have been attributed to smoking. Robert Rakel, MD and Alan Blum, MD: Nicotine Addiction, In Rakels Textbook of Family Practice , 1990

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