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First, people who co-use cocaine and nicotine typically initiate substance use with nicotine before transitioning to combined use of cocaine and nicotine

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Case report: severe acute Parkinsonism associated with streptococcal infection and antibasal ganglia antibodies

Over time, these evolved into the sophisticated, multi-tiered systems we see today

It isolated me because I didn't want anyone to get too close to smell the smoke on me or on my breath, so it kept me from growing relationally