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Many people know nicotine harms the heart and lungs, but very few realize how destructive it is to the spine. In this clip, Betsy explains why nicotine directly accelerates spinal degeneration by reducing blood flow and slowing tissue repair. What surprises most patients is that it does not matter whether nicotine comes from cigarettes, vapes, or replacements. The damage accumulates quietly over time. This insight matters because chronic pain often feels random, when it is actually shaped by eve
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