cigarette smoke indoor air pollution in smokers' homes can reach outdoor levels in worst cities 18 Major Sources of Indoor

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While some damage has occurred from years of heavy smoking

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But thats all speculation

Research has found that nicotine use increases pulse rate and blood pressure and causes increased activity in the brains prefrontal cortex and visual systems, making it harder to get to sleep

Nicotine narrows blood vessels and leaves the mouth drier, and saliva normally handles a steady background job of clearing away particles and neutralizing acid throughout the day