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Most effective combo: (1) Set a quit date 6-8 weeks before surgery, (2) Use a nicotine patch tapering over 8-12 weeks to manage withdrawal, (3) Add varenicline (Chantix) or bupropion (Zyban) under your PCP, (4) Have behavioral support group, app (Smoke Free, Quit Genius), or therapist, (5) Avoid alcohol and high-stress situations during the quit window

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Therefore, despite methodological heterogeneity, the retained dataset reflects consistent criteria that enable meaningful global comparisons of cigarette butt contamination