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The escalation can deepen physiological dependence and make discontinuation more challenging, even when withdrawal symptoms are relatively mild compared to other substances

Nicotine is addictive, but specifically in cigarettes rather than in other forms, as tobaccos acidity in cigarettes differs from cigars and chewing tobacco, meaning that nicotine is absorbed through the lungs when smoking cigarettes, giving a much more immediate hit

In this sense, Springsteen models a kind of limited, imperfect resistance

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1 2 Carlin 2012, p

Tobacco use also causes bleeding gums (gum disease) and cancer