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The effects are greatest in teens, then young adults, and less so in adults over 25. Not everyone is as convinced as Lisdahl, and the debate has sometimes played out quite publicly in the research world

Tobacco Control 1999

Nicotine gum is a helpful tool in smoking cessation, providing a controlled dose of nicotine, which can help reduce cravings and withdrawal symptoms

However, it should be cautious to interpret causal associations of smoking initiation with suicide attempts, schizophrenia, bipolar disorder and anxiety due to the limitation of instrumental variables used

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