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Our local recommendations Evidence shows that smoking cessation services alone cannot reduce smoking prevalence so public health authorities should support wider schemes, including interrupting counterfeit supplies and targeted messaging

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While smoking is a critical behavioral risk factor, it often acts synergistically with other factors such as Helicobacter pylori infection, a major cause of gastric cancer

Moreover, there is no clear evidence that quitting smoking reduces the frequency or intensity of CH attacks, suggesting a more complex relationship between smoking and CH involving genetic or neurobiological factors [87, 88]

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