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The data suggests that regular use of nicotine replacement therapy (NRT) products did not have any adverse effects on the mother or baby after the first trimester nor is associated with adverse pregnancy events or poor pregnancy outcomes

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The authors also noted that "the optimal cessation aid package tested in trials is rarely what is implemented at the population level." Webster defines "bait and switch" as a "ploy of offering a person something desirable to gain favor then thwarting expectations with something less desirable." Clinical trials nearly always wrapped approved products in weeks or months of counseling or support designed to encourage and motivate successful nicotine weaning via NRT, products and counseling worthless to the studys placebo arm

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Mindfulness and Positive Reinforcement QuitSure integrates mindfulness exercises that help users monitor their smoking behaviors and lead them naturally toward tobacco independence