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Why Chain Smoking Happens When cigarettes are smoked in quick succession: Receptors do not fully recover between doses The effect of nicotine becomes less noticeable The smoker consumes more nicotine to achieve the same effect This leads to: Increased frequency of smoking Reduced satisfaction Greater dependence This is a biological process, not a failure of willpower

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Body mass index was calculated using weight (kg) divided by height (m) in meters squared

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The most important limitation was the lack of specific ICD codes for other causes of death, which were the driver for excess mortality among younger ST users

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