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The session duration was gradually increased to enhance physical and mental well-being [] Padanshika Krama (Gradual Tapering): A tobacco substitute was provided to mimic the chewing habit, supporting gradual reduction in consumption, as shown in Table 3 Ayurvedic Medicines and Shamana Gandusha Therapy: Aushadhis (medicines) and therapeutic gargling ( Gandusha ) were administered as detailed in [Table 4] Counseling and behavioral support: Patient counseling: Weekly sessions focused on educating the patient about the harmful effects of Gutka , withdrawal symptoms, and the benefits of cessation Family counseling: The patients family was informed about his condition, challenges during de-addiction, and strategies for providing emotional and behavioral support
Drug Enforcement Administration (DEA) National Library of Medicine National Council on Alcoholism and Drug Dependence (NCADD)
Understanding these learned associations is an important step towards lasting change
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