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Finally, population estimates of quit attempts based on retrospective data may be substantially underestimated, particularly if they only lasted a short time or cessation support was not used during the quit attempt

Or they may be a symptom of nicotine withdrawal

Early onset Male smokers show signs of pattern baldness 1015 years earlier than non-smokers with the same genetic predisposition (Cleveland Clinic, 2021)

When the work was substantially greater than typical, such as severe crisis intervention or complex comorbidity

Smokers dismiss them as just trading one addiction for another, even though switching could reduce their health risks by orders of magnitude