What dosing recommendation is advised for nicotine gum for individuals who smoke within 30 minutes of awakening?

The recommended dosing for nicotine gum for individuals who smoke within 30 minutes of awakening is 4 mg. This recommendation is based on the fact that individuals who smoke more frequently, particularly soon after waking, are typically more dependent on nicotine. The 4 mg dose is designed to provide a sufficient amount of nicotine to help alleviate withdrawal symptoms and cravings more effectively in these individuals.

For those who smoke less frequently or do not smoke as soon after waking, a lower dose of 2 mg may be appropriate. However, since the question specifically addresses individuals who smoke within the first half-hour after awakening, 4 mg is the correct and more effective option to address their heightened nicotine dependence and needs at that time.