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Another factor in decreased birth weight is fetal growth restriction, which occurs because nicotine constricts uterine blood vessels, thus reducing the amount of blood flow to the fetus, and also adds the oxygen blocker carbon monoxide to the blood flow, which decreases the amount of oxygen available to the baby

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2020 titled Nicotine Addiction: Neurobiology and Mechanism. These changes lead to cravings and a heightened sensitivity to triggers associated with tobacco use, such as stress, social situations, or environmental cues

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