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doi:10.1056/nejmra1308383

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If vaping is tied to higher anxiety, poor sleep, or withdrawal cycles, your body can shift more follicles into a resting phase, leading to telogen effluviumdiffuse shedding that often shows up a few months after a trigger

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Tolerance Development Over time, regular nicotine use leads to the development of tolerance, where the body requires higher doses of nicotine to achieve the same effects