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Quitting smoking is so hard because of the complex interplay between physical addiction to nicotine and the psychological habits formed around tobacco use, as studied in an article by the Centers for Disease Control and Prevention titled Why Quitting Smoking Is Hard. Physically, nicotine creates dependence by altering brain chemistry, leading to withdrawal symptoms such as irritability, cravings, and anxiety when a person tries to quit

in a survey of over 25 million smokers who reported smoking or trying to quit in the last year, those who were younger, living in rural areas, or living in Southern and Western states were less likely to get assistance from a health professional to quit smoking

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