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If consumers had felt the need to trade out because they were under economic pressure, it gives them a space within the Marlboro franchise where they can reengageor if a consumer comes under pressure, it gives them a space to continue to engage with Marlboro. Altria Groups overall cigarette sales volume was down 11% in the first quarter

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However, the long-term effectiveness is limited, as patients discontinue the medication or find ways to circumvent the aversive reaction

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Neither NRT use (=0.29, p=0.379) nor EC use (=0.13, p=0.494) was significantly associated with smoking reduction or abstinence at the end of the program