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So those who dont use them should not start

Tobacco has an off or musty smell

Grading of recommendations Recommendations are graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.21 Whether a recommendation is strong or conditional will depend on considerations such as certainty in estimated effects of an intervention, including magnitude, as well as estimates of how patients value and prioritize outcomes, variability of these estimates, and wise use of resources

Br J Psychiatry

Cut back on smoking, or stop altogether

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