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Damage to digital arteries and narrowing of the lumen has been associated with vibration syndrome (JOM, 1984) and, because nicotine acts as a vasoconstrictor, it has been suggested (JOM, 1984) that limiting smoking could aid blood flow to the extremities and thus reduce the condition

while they can boost cognitive functioning, the risk of young non-users turning to nicotine for stimulant purposes raises concerns about nicotine overuse

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These experiences informed the development of the third edition of NTCS, spanning from 20222027, which seeks to build on previous efforts while addressing existing gaps 9-12

HARD COPY: Contact The Massachusetts Department of Public Health, Tobacco Control Program at 617-624-5900, or contact your local board of health