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When it comes to your hearing, nicotine may contribute to tinnitus through a variety of effects in the body, narrowing blood vessels and reducing blood flow to the inner ear disrupting neurotransmitters necessary for auditory perception and processing contributing to oxidative stress that can damage tissues involved in hearing and hearing perception promoting inflammation of the auditory brainstem, a hearing-specific network in the brain Can vaping cause or affect tinnitus

As explained by Healthline, most people chew nganga for the burst of energy it produces, which is likely an effect of the nuts natural alkaloids that release adrenaline

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