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Exposure to strong sunlight Stress Tiredness A fever or infections Hormonal changes Facial procedures or laser treatment How Cold Sores Are Spread Is Different From Canker Sore Transmission A Final Word on How Cold Sores Are Different From Canker Sores Some people also deal with recurrent cold sores and canker sores

An emphasis on experimenting with different treatment options e.g., combining different stop smoking medications) can help, starting medications before the patient sets a quit date, etc, and on preparing ahead of time to avoid smoking triggers can make a big difference