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Unusual patterns, sudden changes in direction, or dense smoke are often interpreted as indications of a spiritual presence trying to communicate or interact with the energy of the ritual

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Additionally, limited data were available on the duration of e-cigarette use (time of exposure) and dose-response relationships (e.g., daily vs

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Nicotine also causes vasoconstriction in certain vascular beds, including coronary arteries, which can potentially impair myocardial blood flow, particularly in individuals with underlying disease (9)