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This leads to chronic inflammation and cellular damage and, by the way, secondhand smoke is generally worse than what actually enters the smokers mouth, Gordon says

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Lack of sleep , for instance, can harm your nervous system and worsen tremors, and stimulants like caffeine can exacerbate anxiety tremors or cause tremors on their own

Reducing tobacco use: a report of the Surgeon General (US Department of Health and Human Services, Atlanta, 2000)

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