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Nicotine can affect insulin sensitivity and blood sugar regulation, so diabetics should discuss any nicotine use, including vaping, with their doctor before starting or continuing

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[61] [62] Tobacco smoke is a complex mixture of over 7,000 identified chemicals, of which 250 are known to be harmful, at least 69 cause cancer, and 98 are known to have specific toxicological properties

However, our survey did not ask respondents about their psychological characteristics, so we were unable to weigh the impact of those traits on stress levels

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