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Nicotine exposure during prenatal or adolescent development can affect the brain in multiple ways that may impair memory, learning, and cognition
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Smoking harms blood flow, damages blood vessels, lowers testosterone, and increases stress hormones, making it harder to get or keep an erection
The major expenditures, according to state contracts, were $1 million to Vilas Pharmacy of Pierre for tobacco cessation medications and $824,000 to Avera Health Plans to provide "telephone and other tobacco cessation counseling and support services for the SD Quitline." State records also indicate that the Department of Health signed a $175,000, one-year contract in June for South Dakota State University to conduct a study of the effectiveness of the South Dakota Quitline
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