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The jurys still out on the overall impact of nicotine, particularly for otherwise healthy people, as side effects, though minimal, can include more serious concerns such as increased blood clotting and atherosclerosis, increased blood pressure and a higher risk of stroke

People who smoke only 4 or fewer cigarettes a day can experience the negative effects of smoking and they still have a greater risk of premature death than nonsmokers

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[24] Dual use may be an increased risk to a smoker who continues to use even a minimal amount of traditional cigarettes, rather than quitting