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Symptoms include: Tremors Constricted pupils Drooling Auditory and visual hallucinations Excitement Vomiting and diarrhea Twitching, possibly progressing to seizures Racing heart rate but slow heart rate with small doses High blood pressure but at higher doses, there is a circulatory collapse It is easy to confuse nicotine poisoning with other poisonings such as strychnine, chocolate, organophosphate insecticides, and certain molds

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It therefore comes as a surprise that Japan is experiencing a dramatic and sustained decline in cigarette sales, a trend that experts credit substantially to heated tobacco products

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