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Common effects may include increased alertness, awareness, wakefulness, endurance, productivity, and motivation, arousal, locomotion, heart rate, and blood pressure, and a diminished desire for food and sleep

Over time, this can lead to damage

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A beginner cigar should ideally: light evenly draw without too much effort burn steadily stay consistent enough that the smoker is not distracted by problems A cigar that keeps going out, tunnels badly or feels awkward from the start can make the whole experience feel more complicated than it needs to be

Examining ever, past 12-month, and past 30-day use helps distinguish experimentation from more recent use and clarifies how race/ethnicity and behavioral factors shape risk