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Some immediate, short-term side effects of nicotine may include: Feelings of relaxation or euphoria Increased blood pressure Increased heart rate Congestion Heartburn Some long-term effects nicotine can have on the body may include: Emphysema Lung and mouth cancer Stroke Diabetes Heart attack Macular degeneration Gum disease Premature aging Fertility issues Pregnancy complications including miscarriage, stillbirth, and premature delivery Sudden infant death syndrome (SIDS) in babies exposed to cigarette smoke Psychological problems induced by nicotine abuse may include: Restlessness Depression Anxiety Irritability Because nicotine is highly addictive, it is particularly dangerous for teens under 18, whose brains are still developing

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Clinic staff or participants LACDHS/LACDMH healthcare provider may eventually know that they are participating in the study