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With the introduction of Juul to the market, nicotine concentrations rose from an average of 2.19% in 2013 to 4.34% in 2018

The harmful chemicals in tobacco smoke can impair insulin sensitivity and increase insulin resistance, contributing to the development of diabetes and making it more challenging to manage blood sugar levels in individuals with diabetes

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[DOI] [PMC free article] [PubMed] [Google Scholar] 42.Estruch R, Sacanella E, Badia E, et al

Josh Shields D.C., C.F.M.P is the clinic director and owner of Integrative Wellness Centers, The Top-Rated Naturopathic & Functional Medicine Doctors in Michigan
