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The first change, which can happen within hours of quitting, is a decrease in heart rate, says Humberto Choi, a pulmonologist at the Cleveland Clinic

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Adolescents aged 12 to 18 should use nicotine gum under the guidance of a healthcare professional, especially if they are occasional smokers or have lower nicotine dependence

For secondary research question two, the model included baseline motivation to stop smoking, label condition, anhedonia score, and an interaction term for anhedonia and label condition