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One thing to consider is vaping

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Are Nicotine Pouches Less Risky Than Smoking or Vaping

Try quitting without NRT first If youve tried quitting and its too hard, consider using NRT as it is safer than continuing to smoke or vape

Bibcode:2013Pedia.131e1009B

We discussed in the CY 2022 PFS final rule that aligning MVP scoring policies with existing MIPS scoring policies balances the statutory requirements and goals of the program with ease of use, stability, and meaningfulness to MIPS eligible clinicians (86 FR 65419)