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Successful commercial tobacco prevention in Tribal communities is developed with the understanding that each Tribe, whether federally recognized or not, is autonomous
[44] Overall, nicotine boosts sympathetic activity, stimulates the release of neurotransmitters, causes coronary and peripheral vasoconstriction, and elevates blood pressure
Even when consumed on its own it can cause harm, which is why nicotine patches and vapes containing nicotine are only recommended for people trying to quit smoking.
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