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Psychopharmacology 155(2):115122 West R, Baker CL, Cappelleri JC et al (2008) Effect of varenicline and bupropion SR on craving, nicotine withdrawal symptoms, and rewarding effects of smoking during a quit attempt

We found in current smokers a positive association between smoking pack-years and cigarettes per day with SBP in both genders, but not with DBP, and only for cigarettes per day with hypertension prevalence in both men and women

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That includes: Cigarette smoke Vape aerosol Chemicals and irritants in the air When these substances hit the vocal folds, they can dry out the surface, cause irritation, and trigger inflammation

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