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Ethical approval Ethical approval for the current study was obtained from Imam Mohammad Ibn Saud Islamic University Institutional Review Board with project number 724/2024 and registration number HAPO-01-R-061

Financial Burden : The cost of cigarettes adds up over time, and the expenses related to smoking-related illnesses can be significant

These pouches offer a discreet, smoke-free alternative to traditional tobacco products

Quitting smoking not only improves COPD management, but also reduces the risk of developing these coexisting conditions

Jesus Christ taught that we must uphold the spirit of the law (Matthew 5:27-28)