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You may need more insulin to get the same effect

Because of how nicotine addiction works in younger people

Elevated enzyme levels put smokers, those with COPD at high risk In the first known study on this topic, Canadian researchers sought to determine whether patients who smoked or had COPD had higher levels of angiotensin-converting enzyme 2 (ACE2) in their lower respiratory tract

It can, as some studies have found an association between frequent diet soda intake and an increased risk of hypertension

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A Content Analysis of Smoking Fetish Videos on Youtube: Regulatory Implications for Tobacco Control. Health Communication 25 (2): 97106