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Insulin resistance: Nicotine alters the biochemical processes inside cells, preventing insulin from binding to cellular receptors, a condition known as insulin resistance

This does feel like more of a harmony with Daniel Clowes and honestly even though I dropped the phrase "sad sack" I don't know anything about the old comic under that name, in fact I think of the old Beetle Bailey daily strips more than anything else

It sticks with you for a while too

The company argues the brand name isnt intended to tell smokers that theyre any less harmful, citing a company-sponsored survey of more than 300 cigar smokers, none of whom mentioned the words health, risk, or safety in their response to what the brand name conveyed