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Strong recommendation, moderate certainty Recommendation 15 For people who have tried to achieve smoking cessation with first-line therapy (combination of behavioural support and TGA-approved pharmacotherapy) but failed and are still motivated to quit smoking, NVPs may be a reasonable intervention to recommend along with behavioural support

Moreover, there is a chance that smokers may switch to dip and chewing tobacco which can deliver more nicotine depending on the amount of product used and the amount of time the product stays in the mouth

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