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Whether coincidence or not I then found myself light-headed, sitting outside of an Exxon Tiger Mart, cherry juice dribbling down my chin, marveling at the number of fingers that protrude from my hands at any given moment of the day

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Here is what nicotine does: Increases sebum (oil) production by stimulating the sebaceous glands, which clogs pores Constricts blood vessels , reducing oxygen and nutrient delivery to the skin Disrupts hormones raises cortisol, affects androgens, and has anti-estrogenic effects Impairs wound healing , making existing breakouts last longer and scar more easily Promotes inflammation and oxidative stress throughout the body These effects apply regardless of whether you get your nicotine from cigarettes, vapes, pouches, or patches