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Additionally, smoking increases the risk of complications once diagnosed with diabetes, such as heart and kidney disease, poor blood flow to legs and feet (which leads to infections and possible amputation), blindness and nerve damage

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"The Mystique of Perique"

D.et al (2020)

Nicotine will keep you feeling awake and alert, which can lead to a poor nights sleep, leaving you not only feeling tired but also putting you at risk of developing other health conditions

Yes, they are every bit as high in quality as any tobacco we have tasted and though ultimately each smoker will have to translate the rather subjective character of their own particular tastes into qualitative terms, the term "better" is a tough one to adjudicate