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People often find it helpful to combine a slower acting nicotine product (such as a patch) with a faster acting product (like the nasal spray or gum)

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A doctor will typically diagnose costochondritis by first ruling out other more serious conditions such as: Acute coronary syndrome Pneumothorax Pneumonia Pulmonary embolism Tietzes disease (this condition is similar, but less common compared to costochondritis and which causes chest swelling in addition to costochondritis symptoms) You might not be too happy with a diagnosis of costochondritis but your doctor is likely to be jumping for joy that it isnt anything more severe