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The onset of smoking before adulthood was associated with a lower likelihood of quitting smoking, a greater risk of nicotine dependence, and physical and psychological illness 2-4

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The timing for when symptoms first appear varies based on several factors, including the frequency of use and the amount of nicotine consumed with each use

It causes blood vessels to narrow, restricts oxygen flow and alters brain chemistry by releasing dopamine, which creates dependency, Folkenroth continued