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One study from 2011 found heavy smoking in midlife was associated with a more than doubled risk of Alzheimers and other forms of dementia decades later

Combining a "long-acting" NRT like the nicotine patch with "short-acting" NRTs such as gum, lozenges, nasal sprays, or inhalers can address both the consistent need for nicotine (via the patch) and immediate cravings (via faster-acting forms)

That makes it easier to control your ratio and keep your dosing more intentional