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Another possible cause might be hormonal

Research demonstrates that cigarette smoking causes a biphasic effect on cerebral vessels, with vasoconstriction occurring within 30 seconds followed by vasodilation at 5-10 minutes

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When you are stressed, or when nicotine is present in high amounts, your body may struggle to trigger a let-down

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Compared to much of the developed world, Japan's workers log intense hours with few opportunities for personal time