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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

I feel like we've tried things before, you know, we like put posters up, like everyone knows it's bad, but people still do it

Faced with a stage 4 diagnosis, he refused to let the disease dictate his life