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Bidi and cigarette smokers in India die six to ten years earlier than their non-smoking counterparts (Jha et al., NEJM, 2008)

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Exclusion criteria included: younger than 45 years with other systemic diseases such as diabetes mellitus, respiratory failure, normal primary spirometry, contraindications for nicotine gum (allergy, recent heart attacks, dangerous arrhythmias, severe angina, hyperthyroidism, insulin-dependent diabetes mellitus, active peptic ulcers, pregnancy and lactation) or a history of severe psychiatric disorders including psychosis, severe depression and anxiety in the patients medical history with GSC psychotherapist and psychiatrist diagnosis

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