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Making sufficient use of NRT gum appears to increase success

Omoloja A, Jerry-Fluker J, Ng DK, Abraham AG, Furth S, Warady BA, Mitsnefes M

The shelf life of shisha largely depends on whether the package has been opened and the storage conditions: Unopened Shisha : When stored in a cool, dark place, unopened shisha can last up to two years without significant flavor degradation

Taken together, the elevated risk observed among former smokers is more consistent with health selection and reverse causality: chronic disease diagnosis, symptom onset, or clinical advice may induce smoking cessation, generating the cross-sectional pattern in which former smokers appear to be at higher risk