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[205] In June 1998, in The New York Times , Paglia wrote, "Garland was a personality on the grand scale who makes our current crop of pop stars look lightweight and evanescent." [180] Garland's live performances towards the end of her career are still remembered by fans who attended them as "peak moments in 20th-century music." [183] The New York Times obituarist described Garland as both "an instinctive actress and comedienne," and that her performance style resembled that of "a music hall performer in an era when music halls were obsolete." [16] Close friends of Garland's insisted that she never truly wanted to be a movie star and would have much rather devoted her career entirely to singing and recording records

Additionally, the withdrawal symptoms experienced when trying to quit can be severe, further complicating the mental health challenges associated with nicotine use