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Description
In a study[1], nicotine changes how the body uses energy reserves by lowering the respiratory exchange ratio (RER), a measure of which type of fuel the body is burning

Smoking is therefore not always the primary cause, but it can worsen an existing condition

The emphasis sits on uniformity and predictability rather than complexity

Sydney: Australian Broadcasting Corporation

& Trimarchi, M

MMWR (Morbidity and Mortality Weekly Report) 45(44):966-970