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The heat from vapor or nicotine can cause tooth sensitivity and even gum recession

While this could just be a display of dominance and control (which is well within Begbie's character,) Word of God is that they imagined Begbie as an Armored Closet Gay, so this trope was certainly intended

In essence, the depressant effects of alcohol reduce stimulation to the brain, which is why alcohol and other depressants and tranquilizers are often colloquially known as downers. If carried to extremes, alcohol can slow the central nervous system so much that breathing and heart rate are affected

Wainwright requirement of knowing about his death sentence and the reason for it, he would have considerable difficulty due to his organic deficits in being able to work in a collaborative, cooperative effort with an attorney and he would not be able to recognize or understand facts which might be related to his case which might make his punishment unjust or unlawfula direct contradiction of Judge Hartjes ruling seven years earlier