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Nicotine in ENDS stimulates the sympathetic nervous system and over time can lead to cardiac remodeling, causing heart failure and abnormal heart rhythms

Sounds good, Brillstein says

As more Western tobacco brands became available in the former Soviet Union, the Apollo-Soyuz commemorative brand became less popular, but a factory in Kazakhstan still makes these cigarettes under license with Philip Morris

In combination with the flood of highly processed carbs that cause our insulin to spike tremendously every time we consume them, they are much more plausible candidates for the development of insulin resistance than meat is