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Besides the confirmatory evidence (a person actually smoking a cigarette in public view), nicotine-stained fingers and teeth, the characteristic smell of smoke impregnated clothing and household items, the chronic "smokers cough," the gravelly voice, and often the visible pack of cigarettes and lighter in a person's pocket or purse are signs and symptoms that a person smokes

Thacher JD, Schultz ES, Hallberg J, et al

1 2 3 4 "E-cigarettes: regulations for consumer products"

Conditional recommendation for the intervention, low certainty Recommendation 10 Varenicline should be recommended to people who smoke and who have been assessed as clinically suitable for this medication