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Current research suggests combining two forms of treatment works better than either one alone. While some smokers can quit cold turkey, using willpower alone, that strategy can wear thin for many people, says Selby, advising them to seek support through self-help booklets, calling a quit line, seeing a health practitioner or getting into a specialist clinic

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In terms of improving obstructive lung physiology among smokers of combustible cigarettes who have switched completely to e-cigarettes, there are conflicting results: one study showed improved spirometry;[5] two others showed no changes.[60,61] Overall, the data suggest that e-cigarette use is potentially associated with early obstructive pulmonary changes, but this association remains inconclusive

These physiological shifts mark the bodys effort to restore normal respiratory balance