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The delicate air sacs (alveoli) where oxygen exchange occurs become damaged and lose their elasticity, leading to conditions like chronic obstructive pulmonary disease (COPD) and emphysema

Symptoms of nicotine withdrawal include: having urges or cravings to smoke feeling irritated, upset, or grouchy feeling restless or jumpy having difficulty concentrating having difficulty sleeping feeling hungrier than usual and weight gain feeling sad, depressed, or anxious These symptoms will fade over time as a person remains smoke-free

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There was also a tendency to do so if the patient was a current smoker, reported elevated levels of smoking and/or had a concurrent alcohol problem (123, 124)

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Providing free vape kits is unlikely to substantially increase the overall number of people stopping smoking