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According to Killen, J.s 2018 study, Extended cognitive behavior therapy for cigarette smoking cessation, cognitive behavioral therapy (CBT) was significantly more effective than telephone support for smoking cessation at 20 weeks (45% vs 29% abstinence), though this advantage diminished by 52 weeks (31% vs 27%)

The robust dark tobacco leaves bring forward the powerful spice blend with a subtle apple complement on the front end of the smoke