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The Lancet also denounced the fact that the majority of the authors of this publication had obvious links with the tobacco industry.[xxviii] The Lancet's criticisms were quickly taken up by the English press, notably in The Guardian, which also highlighted the conflicts of interest of the authors of the article and the methodological weaknesses.[xxix] Immediately after The Lancet, another prestigious scientific journal, the British Medical Journal (BMJ), also criticized Nutt's pseudo-study.[xxx] On 19 March 2016, The Lancet agreed to publish a letter from Nutt and his co-authors in response to its editorial.[xxxi]This letter did not provide valid arguments to counter The Lancets criticisms

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Ask the patient to again commit to not one puff onwards and to ensure that cigarettes, lighters and ashtrays have been discarded