does tobacco affect diabetes A comprehensive review: role of smokeless consumption as a risk factor for mellitus | Acta Diabetologica Health effects of smoking tobacco
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On its own, nicotine is mostly dangerous because of how addictive of a stimulant it is

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Namibia: Letter to the minister of health from BAT, warning that planned tobacco controls will have a massive impact on the Namibian economy at large

So it will ultimately be up to the user to decide whether or not mixing is right for them.