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Participants will be randomized 1:1 to receive cytisine or combination NRT, alongside counseling and follow-up support

He sees it as a form of self-imposed bondage, where one's desires overpower one's reason and moral compass

Proposals for raising the legal age of sale of cigarette and tobacco to 21 have received support from a majority of adults in the USA.15 In 2021, the All Party Parliamentary Group on Smoking and Health, consisting of MPs and peers from parties and constituencies across GB, recommended Tobacco 21 as a policy for consultation in England.16 This was supported by modelling suggesting that the policy would result in 77 000 fewer smokers taking up smoking up to 2030.16 17 Recent surveys in England suggest the policy currently appears to have the support of the majority of adults in England (~65%), Canada (70.8%), Australia (65.1%) and the USA (62.2%).18 19 There are currently no data on the level of support among adults in Scotland or Wales

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It seems the continued intended restriction would make smoking more trouble than it is worth