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The minimum age to purchase tobacco products was increased to 21 from 18 in 2019, while e-cigarette regulations have also grown

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Nicotine also stimulates sensory and parasympathetic nerves from the gastrointestinal (GI) tract, increasing fluid secretion and peristalsis and interacting with the nicotinic receptors in the central nervous system (CNS) and post-synaptic autonomic ganglia, causing CV fluctuations, weakness, and CNS excitement