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A study published in JMIR Human Factors (2024) on QuitSure, a 6-day psychology-based cessation program using CBT, REBT, and self-hypnosis, found that among the 891 users still maintaining abstinence at the time of the survey, 86.4% reported no severe withdrawal symptoms

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[49] It is unlikely that a person would overdose on nicotine through smoking alone, the US Food and Drug Administration (FDA) states in 2013 "There are no significant safety concerns associated with using more than one OTC NRT at the same time, or using an OTC NRT at the same time as another nicotine-containing productincluding a cigarette." [50] Spilling a high concentration of nicotine onto the skin can cause intoxication or even death, since nicotine readily passes into the bloodstream following dermal contact