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Our results are consistent with epidemiologic evidence demonstrating cigar smoking as a cause of disease and premature death, the researchers wrote.

However, the government could make real progress in reducing this impact during the current parliament by passing the Tobacco and Vapes Bill and delivering on their commitment to create a roadmap to a smokefree country.[2] The health and economic impacts of smoking are disproportionately concentrated in the most deprived parts of the country, meaning that these areas stand to benefit the most from investment in stop smoking support

The authors concluded fluoxetine is probably not useful for relapse prevention in that population