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The FDA’s announcement that certain lots of Chantix (varenicline) are being voluntarily recalled has shaken patients and doctors alike. For many, Chantix represented hope: a powerful tool to finally break free from nicotine. Now, that same medication is under scrutiny because of elevated levels of nitrosamines, impurities that can increase cancer risk when exposure is prolonged and significant. While nitrosamines can appear naturally in food and water, medicines are held to far stricter safety limits.