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Regular Use With repeated exposure, the brain starts to associate nicotine with pleasurable feelings and relief from stress or anxiety

Nicotine, the main active ingredient in tobacco, initially acts as a stimulant by triggering the release of adrenaline and dopamine, which: Increase heart rate Raise blood pressure Stimulate brain activity This is why smokers often experience an initial rush or sense of alertness and pleasure after using tobacco

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Working class families generally receive a disproportionate gain from pro-health investments and services such as smoking cessation, substance use treatment and Medicaid