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This points to the fact that knowledge of the risk is not what can make a significant impact on smoking behavior

Nicotine reaches the brain in just 7 seconds, and there it binds to some receptors and releases dopamine, responsible for pleasure

But after you stub out your cigarette, your dopamine levels drop back to their lower baseline, making you feel pretty crappy, he says

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The study author Dr Sana Majid said: "Although primary care providers and patients may think that the use of e-cigarettes by cigarette smokers makes heart-health sense, our study shows e-cigarette use is also related to differences in cholesterol levels. Furthermore, this isnt the only study looking at the effects of e-cigarettes on heart health