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[136] Tobacco-specific nitrosamines (TSNAs) such as nicotine-derived nitrosamine ketone (NNK) and N -Nitrosonornicotine (NNN) and tobacco-specific impurities have been found in the e-cigarette vapor at very low levels, [114] comparable to amounts found in nicotine replacement products

The syndrome is connected to low dopamine production in the brain, the feel-good neurotransmitter responsible for feelings of reward, happiness, and satisfaction

Suddenly, I felt like after all these years of smoking because, you know, a man smokes I was sat around with this silly thing in my mouth thinking: how childish," Richards told the outlet about quitting nicotine six years ago

This is an added social acceptance

Effects of Nicotine as a Stimulant Increased Alertness: Nicotine stimulates the release of norepinephrine, making users feel more awake and attentive