can chewing tobacco affect your heart How Nicotine and Smoking and Heart Disease

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Our findings support the prescription of SSRI antidepressants in a wider group of participants than previously thought, including those with mild to moderate symptoms who do not meet diagnostic criteria for depression or generalised anxiety disorder. The improvement in depression symptoms was limited, but the team recognised how Sertraline can impact on overall mental health

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Chewing tobacco undergoes alkaline treatment to increase pH (typically 7.5-8.5), enabling nicotine to convert to free-base form that absorbs through oral tissues