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One of the back of your hand, press it against the other back of your hand (press, not rubbing), and then press against the pulse points in the side of the neck

Short-Term Effects Throat irritation and a rough, scratchy sensation after smoking Harsher smoke that makes you cough more than expected An off or chemical aftertaste that does not match the material being smoked Allergic reactions in sensitive individuals - particularly to synthetic adhesives or artificial flavours Long-Term Effects Cumulative exposure to dioxins and combustion byproducts from bleached papers Increased burden on the respiratory system from inhaling chemical compounds not present in clean papers Potential sensitisation - where repeated exposure to a mild irritant leads to increasingly stronger reactions over time Frequent smokers bear more of this risk than occasional ones simply because of volume

Individuals with high blood pressure or heart disease should be particularly cautious

Infrequent: electrocardiogram abnormal