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doi: 10.1007/s12603-016-0700-7 13

Researchers have found long-term usage may be connected with heart disease, vascular disease, reproductive disturbances and more, according to the National Cancer Institute

Causes can include: Not drinking enough water throughout the day Excess sweating from heat or exercise Caffeine or alcohol intake Illness with fever, vomiting, or diarrhea Sometimes people drink fluids but still feel thirsty because theyre not replacing electrolytes properly, especially after sweating

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In the nicotine strength, this one feels to be about the regular strength level, with a decent release to it