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Long-Term Effects on Sleep Chronic nicotine useeven from pouchescan have cumulative effects: Reduced sleep efficiency Shortened total sleep time Impaired daytime alertness despite perceived stimulation Potential interaction with circadian rhythms, making early-morning wakefulness more difficult Additionally, nicotine can exacerbate conditions like sleep apnea by increasing airway resistance or promoting arousal from sleep, further compounding sleep disruption

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How Do Chemicals from Normal Cigarettes Affect Your Veins

Smoking and cognitive performance in the community elderly: A longitudinal study

LeBlanc, Emily G