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Why is this former smoker coughing?

Why is this former smoker coughing?

Shaun, 27, is a mechanic who has just started trying to quit smoking. He came into the pharmacy about a week ago to purchase some nicotine gum, and he was given full advice and support to help him in his attempt.

Shaun has now returned to the counter and is coughing uncomfortably.

"I've got this cough," he says. "It's just come on recently, but I'm pretty sure it's because I've stopped smoking the fags, because this happened when I last tried to quit. It's really starting to annoy me. Is there anything you can do?"

Shaun started smoking when he was 17, does not have any other relevant medical history and is not prescribed any medicines. He confirms that other than nicotine gum, he doesn't use any over the

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