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Multiple studies have now confirmed that nicotine, independent of other tobacco chemicals , causes measurable harm to the cardiovascular system.[35] Nicotine alone triggers immediate and potentially dangerous changes in blood flow, heart rate, and heart rate variability, within minutes of use

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2,3 The NAS marketing strategy has been successful, as NAS is one of the only major cigarette brands that increased its market share in the USA over the past two decades, amidst overall population-level declines in cigarette smoking

We, as a nation, must protect the most vulnerable among us from these harms by reducing smoking rates everywhere, but particularly among the hardest-hit region of Tobacco Nation