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But in suggesting that there is a neurophysiological basis for the observation that nicotine use can increase the reinforcing properties of alcohol, it may also underscore that tobaccos harms may extend well beyond cancer and heart disease, and that the toll it has taken may go well beyond the 100 million people it is estimated to have killed in the 20th century alone.

When transitioning from smoking to vaping, it's essential to choose the right nicotine level to match your previous habit without risking overconsumption or withdrawal symptoms