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Paper cigarette boxes align with this shift in consumer perception, appealing to those seeking greener alternatives to traditional tobacco products

Technological innovation remains a central catalyst, with companies introducing heating mechanisms that enhance vapor quality while minimizing harmful byproducts

They completed the Contemplation Ladder [40] to evaluate their readiness to quit smoking and the Cigarette Withdrawal Scale (CWS-21) [41] to assess symptoms of withdrawal on six dimensions: craving, insomnia, depressionanxiety, appetiteweight gain, irritabilityimpatience, and difficulty concentrating

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