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As you get older, the tonsils become less important in fighting germs and usually shrink

An ulcer that persists for more than 3 weeks, particularly in individuals with risk factors, should be biopsied to rule out malignancy definitively

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Key considerations : Prefer fast-acting forms such as nicotine gum or lozenges Use the lowest effective dose to control withdrawal symptoms Remove nicotine patches overnight if patches are used Document riskbenefit discussions with the patient It is important to note that using NRT for nicotine products other than cigarettes may be considered off-label, depending on jurisdiction and clinical guidelines