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An inherited condition called alpha-1 antitrypsin (AAT) deficiency enlarges the peril of early-onset emphysema, particularly among smokers, as highlighted in Yale Medicines Fact Sheets. Heart disease : As nicotine raises blood pressure and increases heart rate it contributes to a higher risk of heart attacks, stroke, and other cardiovascular problems

While nicotine itself has biological effects worth studying, the route of administration often determines the level of harm or safety

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