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Nicotine triggers the sympathetic nervous system, often called the fight-or-flight response, causing a surge of adrenaline and noradrenaline

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SHS exposure increases the risk of developing asthma and exacerbation of asthma symptoms (Jaakkola and Jaakkola, 1997

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and American Cancer Society

This combination of an inadequate diet and heavy smoking must have taken a toll on her physical and mental well-being