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Altering the physical form of the medication by crushing, heating, or smoking it completely bypasses this carefully engineered delivery system

Possible long-term effects of nicotine Constant urge to have more nicotine Early aging and skin wrinkles Ongoing stomach issues like ulcers Heart attacks and other heart issues Problems with eyesight Changes to how things taste and smell Loss of muscle Problems with focus, memory, and learning Long-term mental health issues like depression and anxiety

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