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Cortisol is a stress-response hormone that alters the immune system, suppresses the digestive system, increases sugars (glucose) in the bloodstream, and enhances the brains use of glucose to make you feel tense, hyper-alert, and on-edge all to function in stressful situations

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This combination approach uses the patch for steady baseline nicotine delivery throughout the day and pouches for breakthrough cravings when the patch alone isnt enough

But a few decades ago, smoking at 35,000 feet was routine

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