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A practical approach looks like this: Stay on 20mg until puffing feels stable and boring Move to 10mg when cravings are already low Accept that puff count may rise slightly at first Let behaviour stabilise before making another change Trying to reduce nicotine and puff count at the same time is what usually causes frustration

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This article is adapted from her latest book, The Secret History of the War on Cancer (Basic Books/Perseus, 16.99) Read about other 'profitable pollutants' found in household goods here This article first appeared in the Ecologist February 2008