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Cotinine is then broken down and leaves your body in your urine

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Immediate side effects can include: Chest pain or tightness Rapid heartbeat Dry mouth and dehydration Aggression or anxiety Dizziness or fainting Long-term risks include: Lung and throat damage High blood pressure and heart disease Severe insomnia and psychosis Permanent changes to brain chemistry Addiction and overdose The Drug Abuse Warning Network reports that emergency room visits for stimulant misuseincluding Adderallhave nearly tripled in the past decade

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