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Beyond its direct effects, nicotine undergoes metabolic conversion during tobacco curing and smoking into highly carcinogenic tobacco-specific nitrosamines, including NNK (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone) and NNAL (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol)

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End-Stage Renal Disease (ESRD), which assesses MIPS eligible clinicians on the risk-adjusted and specialty-adjusted cost to Medicare for patients who receive medical care to manage ESRD

Health Risks 1) Addiction : Addiction to nicotine especially at a young age can create a variety of medical conditions that necessitate more and more health care and visits to your primary care doctor that wouldnt have been necessary absent the addiction