Street-Level fight against tobacco: can a Plant-Based pill help where others failed?

This study tests two practical strategies to help homeless or at-risk adults in Ottawa and Toronto quit or reduce smoking and other substance use. It compares a plant-based medication called Cytisine with standard nicotine replacement therapy (like sprays or gum), both combined with counseling from peer researchers with lived experience. The goal is to find a more effective and accessible way to improve health and quality of life in a marginalized population where smoking rates are extremely high.