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Nicotine is especially addictive when smoked or otherwise taken into the lungs because "the onset of the stimulant-like effects occurs very rapidly through this route of administration," David Ledgerwood, a clinical psychologist in the Substance Abuse Research Division at Wayne State University in Detroit, Michigan, told Live Science in an email

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However, she says, because we know we are missing the majority of tribal water systems, this finding may not hold for all American Indian communities