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Studies using NRT have confirmed that nicotine itself increases sympathetic nerve activity and elevates heart rate and blood pressure, effects that persist even during physiological stress like hypoxia (24)

This last decade has brought many ideas and notions that have me questioning my understanding of myself, all the ways in which I see the world, including some areas that felt so solid and sturdy, like a permanent concrete floor, with a nice rug to tie the room together. But then the rug gets pulled from under, causing me to fall flat on my back, head on concrete, and I get to look at the sky, and I have to find meaning or gratitude, especially in the present, like this morning: I found a sweet parking spot outside of work in NYC, and I was gifted with the most gorgeous sunrise, pushing through the Avenues horizon from the East River

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