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As one review stated, Nicotine is the addictive chemical in tobacco smoke, but its involvement in smoking-related harm (outside pregnancy) is very small, if any, compared to cigarette smoking. Another systematic review pointed out that nicotine can have a variety of potential health effects, from raising ones cardiovascular risk to causing birth defects in pregnant women

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Blackbirds pick bits out of the garbage, and robins fly into the outside lavatory and build nests on top of the cistern

But electronic cigarettes may be as harmful to the heart as smoking cigarettes that contain tobacco, according to some data