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Patients may sometimes express reluctance to quit smoking for many reasons, including limited awareness of the health risks of tobacco use or challenges such as financial or social barriers that make cessation difficult

Some common side effects include: Increased Heart Rate: Nicotine stimulates the release of adrenaline, leading to a faster heart rate and increased blood pressure

Research on waterpipe tobacco smoking found that 15.7% of young adults who had never established cigarette smoking were waterpipe smokers, with some studies indicating increased susceptibility to cigarette smoking among waterpipe users