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While quitting all tobacco and nicotine products remains the optimal goal, complete switching away from combustible cigarettes may reduce exposure to many of the toxic substances generated by tobacco combustion for smokers who are unable or unwilling to quit

In high doses, it can cause headaches, dizziness, and nausea

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Changes in heart rate or blood pressure are common side effects that may impact sports performance, says Tory Spindle, Ph.D., a researcher in behavioral pharmacology at Johns Hopkins, but there are other effects that may be relevant and likely lead to worse performance, such as nausea, upset stomach, sweating and lightheadedness. One PGA Tour player told us nicotine mostly has a negative impact on him