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MEDICC Review, October 2011, Vol 13, No 4 38 Original Research Peer Reviewed INTRODUCTION The most widely consumed legal psychoactive substances in the world, tobacco and alcohol, confer a heavy health burden on almost all populations

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Nicotine reduces withdrawal discomfort and stress signals temporarily, which creates a calming sensation even though it stimulates the nervous system.

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Even though the rate of regular tobacco users has gone down, 13 more people (most of them young women) are coming forward as social smokers. That is, they do not smoke on their own, but they will tend to smoke in the company of friends and usually when consuming alcohol