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By then the company was already the target of multiple investigations and lawsuits by Congress, state and local officials and class action attorneys

Nicotine Effects: Central Nervous System Dizziness Lightheadedness Abnormal sleep disturbances Blood-flow risk Headache Nicotine Effects: Cardiovascular System Atherosclerosis Aortic enlargement and dissection Increased clotting Heart rate fluctuation Increased blood pressure Coronary artery disease Tachycardia Arrhythmias Nicotine Effects: Respiratory System Shortness of breath Chronic obstructive pulmonary disease Bronchospasm Cancer Nicotine Effects: Muscular System Spinal disc degeneration Joint pain Tremors Nicotine Effects: Gastrointestinal System Peptic ulcer Diarrhea Nausea Dry mouth Heartburn Dyspepsia Cancer Mentioned health effects can all be attributed to nicotine but are greatly exacerbated by other compounds usually found in tobacco products, such as tar, carbon monoxide, toluene, or any of the other 4,000 substances regularly found in cigarettes

Toxicol Reports 2 , 228237 (2015)

It delivers the same fuller-bodied tobacco profile as the smaller sizes, but in a format thats better suited for regular, long-term use