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Data availability The datasets generated during and/or analyzed during the current study are available at the website of Global Health Data Exchange (GHDx) ( healthdata

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Other long-term effects of snorting cocaine include the following: Severe headaches Seizures Heart attack and heart disease Stroke Lung damage Hallucinations Sexual dysfunction and infertility Long-term intranasal cocaine abuse can also lead to significant damage to the nose, mouth and nearby tissues

People with abnormal liver function or a history of liver disease, diabetes, active peptic ulcer disease, gout, cardiac arrhythmias, inflammatory bowel disease, migraine headaches, or alcoholism may be more susceptible to the adverse effects of excess niacin intake than the general population (41)

Amy Buchanan, MD , is a family medicine physician at Loyola Medicine