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Side effects of varenicline may include: nausea vomiting upper respiratory issues drowsiness fatigue headache dizziness constipation insomnia mood changes unusual dreams In rare cases, varenicline can lead to more serious side effects, such as seizures, chest pain, or changes in heart rate

doi:10.3390/ijerph15020313

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Heated tobacco warms real tobacco to produce a nicotine-containing aerosol, while vaping uses a battery to heat an e-liquidtypically containing nicotine, flavourings, and propylene glycolwithout using any tobacco

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However, they can also block the airway, which can lead to sinus infections