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According to NHS guidance on nicotine replacement therapy, dizziness and lightheadedness are recognised side effects of nicotine products at doses above the user's current tolerance and they're considered temporary and non-dangerous in healthy adults

Writing for The Conversation in 2025, health scientist Jolanta Burke explained that emerging research really does suggest that optimists like Van Dyke have a higher chance of living longer

Greece and other southern European countries have expressed concerns, warning that such increases could encourage cigarette smuggling and harm local tobacco industries