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There has been some pre-clinical work in animals that seems to suggest that menthol interacts with the same receptors in the brain that nicotine does. Basically, we think that menthol augments the impact of cigarettes on some of those receptors it might make nicotine more rewarding, increasing the addicting impact of nicotine, Engelmann explained

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doi: 10.1016/j.envres.2019.02.005 4 ArajoM

they should be prescribed only after a proper heart check

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