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While some people intentionally seek out this combination, it can be unpredictableone substance can amplify the others effects, leading to stronger intoxication than either substance alone

Nicotine and the other toxins in cigarettes, cigars, and pipes can affect a person's body quickly, which means that teen smokers experience many of these problems: Because smoking restricts blood vessels, it can prevent oxygen and nutrients from getting to the skin - which is why smokers often appear pale and unhealthy

The corresponding ICD-9 codes used are 161161.9 and V10.21 11

Stelle argues they are the wrong prescription for the state, and she outlines several reasons why they are harmful