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Consuming nicotine in high amounts can put young people at risk of acute nicotine toxicity, which can cause agitation, a fast heart rate and vomiting, according to the U.S

But medical experts acknowledge minor uncertainty over long-term effects

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Specifically, the analysis predicts that implementation of key tobacco policy changes could lead to roughly 100,000 fewer cancer cases, 730,000 fewer hospitalizations, and 170,000 fewer deaths attributed to smoking in the first two decades following policy change as well as saving over $24 billion in smoking-attributable medical costs and increasing productivity by over $100 billion

The researchers hope that studying the ceremonial use of tobacco will help provide context for health programs seeking to mitigate its widespread use throughout Native American communities today