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Executive Summary Smoke-free tobacco and nicotine products are, beyond any reasonable doubt, substantially safer than smoking products, though not risk-free

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People often combine this with other telephone chatlines, such as 800-QUIT-NOWthat provide free, confidential coaching free texting programs, such as SmokefreeTXT free apps, such as quitSTART, and online resources, including smokefree.gov andCDC.gov/quit medications, including bupropion and varenicline cognitive behavioral therapy (CBT), which can help people identify and avoid their triggers for smoking or relapsing motivational interviewing, a patient-focused technique that lets patients identify gaps between their desire to quit and current behavior pattern It is best to speak with a clinician about evidence-based options instead of resorting to an unproven product that suggests a supportive role in smoking cessation in its marketing

The remaining nine studies were found to have a moderate to high risk of bias 31-36,38,39,41,42