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Effects of Nicotine Withdrawal Any of the following are possible withdrawal effects from nicotine: Anxiety Irritability Cravings for nicotine Restlessness or boredom Dizziness (which can last a day or two after quitting) Feelings of frustration, anger, and impatience Depression Trouble concentrating Trouble sleeping Tiredness Chest tightness Slower heart rate Headaches Increased appetite Weight gain Cough, nasal drip, dry mouth, and sore throat Constipation and gas These health effects may appear a few hours after the last cigarette and may prompt a person to continue smoking to alleviate symptoms

i do have access to back but poor access so i can get no leverage

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In addition, take the time to review and utilize the many options and resources available to assist you and your patients/clients