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When cortisol levels are elevated for long periods of time it can actually make changes to the brains chemistry

At the same time, theres the ritual of itthe act of reaching for a pouch during stress, boredom, or certain routines

For example, secondhand smoke exposure has been found to be causally linked to stroke, lung cancer, and other disease in adults and lower respiratory illness in children (Ref

One study found that the more cigarettes a person smoked each day, the higher their risk of breast cancer

This particular diagnosis code is one of the many codes designated as "Unacceptable Principal Diagnoses." The reason for this is that this code doesn't exactly point to a specific problem

Putting the pouch anywhere else will reduce nicotine absorption and could cause discomfort