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Once in the brain, nicotine binds to nicotinic acetylcholine receptors leading to the release of multiple neurotransmitters (dopamine, norepinephrine, serotonin, gamma aminobutyric acid (GABA), glutamate and endorphins) in the central nervous system.53 Dopamine is the predominant neurotransmitter released, and it is associated with pleasure and appetite suppression

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