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Editors Note: This article was originally published on July 15, 2021, and was updated in May 2025

A fake cigarette or nicotine-free vape serves as that behavioral replacement

The introduction of vaping, though controversial when its young people doing it, is understood to have helped accelerate the fall in smoking, as per the drug policy charity Transform

While nicotine patches can take up to 12 hours to reach the peak of their efficacy, other forms of nicotine replacement products, such as gum, lozenges, inhalers, and nasal spray have been shown to provide relief within 20-30 minutes

Proc Natl Acad Sci USA 89 : 212216

Another Native American smoking ritual is the smudging ceremony, which involves burning a bundle of herbs, such as sage or cedar, and using the smoke to purify a space or person