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This is one reason it is sometimes discussed as a nootropic

Harshness can be reduced in a variety of ways including: adding various ingredients, eliminating substances with known irritant properties, balancing irritation alongside other significant sensory effects, or altering the chemical properties of tobacco product emissions by adding or removing specific substances

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S.s 2022 study, Association between family or peer views towards tobacco use and past 30-day smoking cessation among adults with mental health problems, Individuals whose family or peers held neutral or positive views towards tobacco use were 32% less likely to quit smoking compared to those surrounded by negative views (adjusted OR: 0.68)

This reduction in lung function contributes to shortness of breath and diminished overall respiratory performance