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However, seek medical care immediately if you experience: Chest pain Severe shortness of breath Fainting Confusion Severe anxiety or panic that feels unmanageable For people quitting heavy smoking, drinking, or multiple substances at once, medical supervision may be recommended

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But a photo in the countrys top newspaper, the Rodong Sinmun, last week of Kim smiling and holding a burning cigarette while visiting a childrens camp in Pyongyang seems to have dampened such expectations