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Sources: NCSCT (2019)

The rule states that while cigarettes cause the largest amount of harm to public health in the United States, limiting the proposal to only cigarettes could result in users shifting to other similar combusted tobacco products, which would reduce the efficacy of the nicotine standard

Thats how the government enforces regulations for cigarette packaging: Standardized Packaging: Governments mandate standard cigarette packaging with identical designs, large health warnings and no branding

Clinical reviews show cytisine increases quit rates and it performs similarly to other effective medicines such as varenicline