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Nicotine users have elevated heart rates, which could negatively affect the anesthesia

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While vaping reduces exposure to some toxins in cigarette smoke, it is not free from consequences

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In addition to the detrimental impact of tobacco on health, the total economic cost of smoking (from health expenditures and productivity losses together) is estimated to be around US$ 1.4 trillion per year, equivalent in magnitude to 1.8% of the world's annual gross domestic product (GDP)