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Mood swings and irritability : While nicotine can initially improve mood, fluctuations in levels throughout the day may lead to irritability or anxiety

Smokers live an average of ten years less than non-smokers

& Yu, S.-J

These higher-dose nicotine gum tablets are typically recommended for individuals who smoke 25 or more cigarettes daily or for those with a higher level of nicotine dependence

This reduction has two consequences: higher susceptibility to viral infections (particularly respiratory viruses), and reduced surveillance of early cancerous cells contributing to the elevated cancer risk that tobacco creates through multiple simultaneous pathways

[3] This is a newer form, initially developed in Scandinavia