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For patients who cannot tolerate varenicline, alternatives such as NRT, bupropion, behavioral counseling, cognitive behavioral therapy (CBT), and mindfulness-based interventions should be considered based on individual needs and previous cessation attempts

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Smoking can cause: facial wrinkles, especially around the lips baggy eyelids uneven skin coloring, such as a yellow or gray tone dry, coarse skin temporary yellowing of the fingers and fingernails Smoking reduces how quickly skin repairs itself, increases the risk of skin infections, and increases the severity of skin conditions, including psoriasis

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