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Long-term support, including cognitive behavioral therapy and pharmacotherapy, led and supervised by a specialist in cessation counselling, contributes to more effective long-term abstinence 4,46,47

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In addition to the plastic problem, littered butts leach toxic emissions (cadmium, lead, arsenic and zinc) into water and soil as they decompose, contributing to soil and water pollution and impacting wildlife habitats

This is the first of its kind study from India to document TII and its prevalent types

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