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While these therapies can help, doctors say they are only one piece of the puzzle.Dr Koushik noted, "Nicotine replacement therapy is usually the first stage in smoking cessation."This includes patches, gums, lozenges and similar products designed to provide controlled amounts of nicotine without exposing the lungs to cigarette smoke."Some of them do find it very effective, especially those who are not very heavy smokers and those who are not addicted too much."However, results vary."There is a population of cigarette smokers who do not respond very effectively to these replacement therapies."For those individuals, doctors may recommend additional prescription treatments and structured cessation programmes.The key takeaway is that nicotine replacement therapy is not a magic cure, but it is often a safe and effective first step