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It has nicotine which is in tobacco products

Although nicotine does play a role in acute episodes of some diseases (including stroke, impotence, and heart disease) by its stimulation of adrenaline release, which raises blood pressure [40] , heart rate, and free fatty acids, the most serious longer term effects are more the result of the products of the smouldering combustion process

We found that anxiety declined in all the participants, but the decline was greater in successful quitters

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