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However: Many users become dual users (both smoking and vaping) Nicotine dependence often continues Long-term cessation rates are not consistently high Doctors recommend medically supervised cessation methods instead, such as: Nicotine replacement therapy (patches, gums) Behavioral counseling Prescription medications when needed Expert Advice from Pulmonology Practice In clinical experience shared by Dr Shivanshu Raj Goyal , common patterns observed include: Young adults developing vaping-related cough and chest discomfort Smokers underestimating COPD risk until late stages Increased respiratory infections in regular users Anxiety linked with nicotine withdrawal cycles Early intervention and awareness play a major role in preventing irreversible lung damage

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