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While these levels are typically far lower than what you would find in cigarette smoke, they are still present

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Cognitive Effects of Nicotine: Recent Progress

Tobacco smoking contributes to an increased risk of stroke through various mechanisms including carboxyhemoglobinemia, prothrombotic effect, vasomotor dysfunction, inflammation, modification of lipid profile and direct toxic effects of vapour compounds, both primary and environmental tobacco smoke exposure being linked to atherosclerosis and arterial damage 4

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