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Treatment with reversible NDS tarsorrhaphy was initiated with instructions to apply the strips at bedtime and as much as possible during the day

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The patches have been shown to be less effective in highly dependent smokers than in those with low or moderate dependence.33,34,39 The 4 mg gum is highly recommended for smokers with a moderate to high degree of physical dependence on nicotine, and in these cases it is helpful long the treatment for 3 to 6 months, or even 1 year.33,34,39 Nasal spray is highly indicated for smokers with a high degree of physical dependence on nicotine

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