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Comorbid Mental Health Conditions and Nicotine-Related Sleep Disturbances People with anxiety, depression, or insomnia often use nicotine to manage symptoms , but this pattern can worsen sleep problems over time

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Origin and spread On April 12th, 2015, X user @rustcohle95 shared the image with the caption, "Trying to resist watching the leaked Game of Thrones episodes like," and from there the meme gained traction, primarily on on Reddit