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Even more concerning, research points to a pattern: the more you use nicotine at night, the worse your sleep tends to get over time

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6 Tobacco Increases Spine Surgery Risk And Reduces Its Success In surgeries like spinal fusion or decompression: Smokers have higher risk of poor bone fusion (nonunion) More infections Slower nerve recovery Longer hospital stays Even after a technically perfect surgery, tobacco undoes your surgeons effort from the inside