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J Headache Pain 26 , 133 (2025)

Nicotine hits fast and hard, creating a sharp dopamine spike that fades just as quickly, which is exactly what keeps the craving loop goingand if you have ever tried quitting, you know exactly how that loop feels

While the anonymous, online nature of the survey may encourage honesty, there is also a risk of recall bias, as participants may incorrectly recall their use behaviors or respiratory symptoms, either unintentionally or intentionally, especially if they are advocates for smoking or vaping

They find that widely-used products such as beedis attract lower taxes than cigarettes