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Hussein Samji, MD, a recent Stanford residency graduate, was his co-author

Physical and Cognitive Effects The most consistently reported short-term effects include: Increased drowsiness and grogginess, which raises the risk of falls, accidents, and poor decisions Dizziness and unsteadiness, which the NHS lists as serious enough to warrant urgent assessment if severe Impaired coordination and slower reaction time, making driving or operating machinery especially dangerous Slowed thinking, confusion, and reduced ability to focus Nausea, which can become dangerous if sedation is also present because of aspiration risk Next-day residual impairment, even after obvious intoxication has passed Psychiatric and Emotional Effects These are often the more consequential harms

It is certainly a much, much safer drug delivery system for current smokers, but nicotine is not an innocuous drug along the likes of caffeine

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