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Epinephrine elevates heart rate and blood pressure, causing the initial jolt of energy that many smokers report

Snuff may be chewed or sucked in your mouth or sniffed into your nostrils
34.DeNoble VJ, Harris CM, Horn J, Mele PC

References Forouzanfar, M
""Summary of 100% Smokefree State Laws and Population Protected by 100% U.S

A National Academies of Sciences, Engineering and Medicine (NASEM) committee published a review of e-cigarette research in January 2018
