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Participants were categorized as either physically active or inactive based on the WHO recommendations 9

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Comparing Treatment Approaches Recent systematic reviews show that: Acupuncture alone: 30-50% success rate at 6 months Nicotine patches alone: 20-40% efficacy Prescription medications: 25-45% success rate Acupuncture + counselling: 45-60% success rate Understandings of Mechanisms Clinical studies indicate that acupuncture acts through several neurobiologic mechanisms: Dopamine regulation : Modulates reward pathways without creating new dependencies Endorphin release : Natural pain and stress relief that reduces the need for nicotine's mood effects GABA activation : Enhances the brain's natural calming mechanisms Stress hormone reduction : Lowers cortisol levels that often trigger smoking urges Who Should Consider Acupuncture for Smoking Cessation