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American Journal of Epidemiology 157 (2): 98112

These differences affect the overall smoking experience, including flavor and potency

According to a 2023 study by Mittal et al., Impact of smoking initiation age on nicotine dependency and cardiovascular risk factors: a retrospective cohort study in Japan, smokers with initiation prior to age 20 showed greater cigarette consumption, stronger nicotine dependence, higher depressive scores and lower cessation success compared with peers starting at age 20 or older

When nicotine reaches the brain, it stimulates neurotransmitters such as: Dopamine Serotonin Norepinephrine These chemicals temporarily create feelings of pleasure, relaxation, alertness, and satisfaction
