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These include: Heart disease High blood pressure Stroke Type 2 diabetes Liver damage Depression If you have been diagnosed with Obstructive Sleep Apnoea, one of the lifestyle changes your doctor may recommend is quitting smoking, losing weight, avoiding foods that affect your sleep and reducing alcohol consumption

US Food and Drug Administration, Tobacco Product Applications: Metrics & Reporting, July 1, 2025, Konstantinos Farsalinos et al., Patterns of Flavored E-Cigarette Use Among Adult Vapers in the USA: An Online Cross-Sectional Survey of 69,233 Participants, Harm Reduction Journal 20, no

As mentioned, nicotine works as a stimulant

2009 Oct;13(5):363377