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Am J Pubic Health

Although direct evidence on nicotines effects in the developing cardiovascular system is limited, its well established impact in adults particularly through sustained sympathetic activation and endothelial dysfunction raises credible concerns that early exposure during adolescence may disrupt normal cardiovascular maturation and contribute to the early development of risk factors for cardiovascular disease (9)

The addictive nature of nicotine is the chief reason smokers continue to use tobacco

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