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But today, there are many other options for those seeking higher nicotine levels that are much less harmful than smoking.

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That is even though the American Heart Association lists nicotine as dangerous and notes that it can cause: Increased blood pressure Increased heart rate Narrowing of arteries Hardening of arterial walls, which can lead to a heart attack In 2015, a meta-study from the Indian Journal of Medical and Paediatric Oncology, published in the National Library of Medicine, examined many findings that had to do with only nicotine-related health effects, excluding the additional harmful effects of cigarettes