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The amount of female high school students who use smokeless tobacco (3.3 percent) is less than half that of male high school students (8.4 percent)

After an individual smokes a cigarette some of the effects that can be immediately felt include: Increased alertness Feelings of relaxation Mild euphoria Bad breathe Decreased appetite Dizziness Increased blood pressure and heart rate Nausea Headache Decreased skin temperature Coughing Long-Term Effects of Cigarette Addiction Even though nicotine can be as addictive as drugs like heroin, or methamphetamine, hardly anyone would argue that cigarette smoking has more negative consequences than shooting up

Smokeless tobacco refers to products like snus, dip, or chew that deliver nicotine through oral absorption instead of smoking or vaping

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Acknowledgements We thank the Clinic for Gynecology, Obstetrics and Reproductive Medicine for their financial support

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