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The NIH study is looking at everything, all medical problems, and all types of behavioral components, including e-cigarette use and vaping use

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Common Side Effects at Pre-Workout Doses: Increased heart rate and blood pressure Nausea, especially in nicotine-naive users Dizziness or lightheadedness Increased anxiety or jitteriness when combined with stimulants Digestive discomfort or altered bowel function Sleep disruption if used too late in the day Who Should NEVER Use Nicotine Pre-Workout: Anyone with cardiovascular disease or hypertension Individuals with arrhythmias or other heart rhythm disorders Pregnant or breastfeeding women People with anxiety disorders or panic disorder Anyone with a history of nicotine or substance addiction Contrary to popular opinion, I do not buy into the idea nicotine on its own is inherently addictive