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According to the article, nicotine is mainly a potent activator of midbrain dopamine reward pathway, and its action on the locus ceruleus activates awareness, provocation, and attentiveness with anxiety activity, making nicotine users more attentive and creating dependency similar to other addictive drugs like cocaine and heroin

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How Smoking Can Lead to Low Birth Weight The Link Between Smoking and Low Birth Weight Low birth weight is a common complication associated with smoking during pregnancy