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Theories include: Heat from the cigarette directly burning the skin Changes in the elastic fibres of the skin (elastosis ) Narrowing of blood vessels (vasoconstriction), which reduces blood supply to the skin and can cause changes in skin elastic fibres and loss of collagen Reducing vitamin A levels and moisture of the skin

Nicotine and bruxism Involuntary grinding, gnashing, or clenching of the teeth (while awake or asleep) are characteristics of a condition called bruxism

This shisha flavor has an unexpected boldness to it that is both enticing and delightful

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JAMA 284(20):26062610