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Changes in heart rate or blood pressure are common side effects that may impact sports performance, says Tory Spindle, Ph.D., a researcher in behavioral pharmacology at Johns Hopkins, but there are other effects that may be relevant and likely lead to worse performance, such as nausea, upset stomach, sweating and lightheadedness. One PGA Tour player told us nicotine mostly has a negative impact on him

Check out our article for a more in depth view at how long nicotine stays in your system

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Smoking also aids in the development of blood clots, which can obstruct the flow of blood to the heart and cause a heart attack

The authorities are stepping up prevention campaigns, but the decline in sales remains slow