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Traditional NRTs like patches and gum do not offer much freedom when it comes to controlling nicotine intake

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Adler, A.M., M.D"

References: Halpern SD, French B, Small DS, et al

Federal FDA regulations apply to these tobacco products defined under the Tobacco Control Act as any product made or derived from tobacco or containing nicotine from any source (e.g., synthetic nicotine) that is intended for human consumption

And when you're not smoking or consuming nicotine, you get withdrawal symptoms, which include things like cravings, restlessness, decreased appetite, irritability and trouble sleeping