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However, pipe smokers face higher rates of oral, throat, and esophageal cancers

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Nicotine gum or lozenges Come in 4 mg or 2 mg gum and lozenges Starting dose is based on when you have the first cigarette of the day If first cigarette is within 30 minutes of waking: Use 4 mg If first cigarette is after 30 minutes of waking: Use 2 mg Dose incrementally by week Week 1 to 6: Use one lozenge or gum piece every one to two hours as needed for cravings (max 20 pieces per day, max of 5 pieces in 6 hours) Week 7 to 9: Use one lozenge or gum piece every two to four hours as needed for cravings (max 20 pieces per day, max of 5 pieces in 6 hours) Week 10 to 12: Use one lozenge or gum piece every six to eight hours as needed for cravings (max 20 pieces per day, max of 5 pieces in 6 hours) Possible adverse effects: Irritation of the mouth or throat Jaw ache Dry mouth Hiccups Heartburn Can be used concurrently with patches for breakthrough cravings

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