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To the Editor:—
Dr. Lemere and I are in complete agreement except for his suggestion that nicotine has a tranquilizing effect. All experience shows it to be a stimulant to the sympathetic nervous system. The word "relaxation" is a tricky one. If a person feels less in danger psychologically, he will experience this as a lessening of tension or anxiety and may describe it as "relaxation," although physiologically and psychologically the organism may be operating at an increased level of efficiency.
Chessick R. Effects of Smoking. JAMA. 1964;189(5):382. doi:10.1001/jama.1964.03070050048021
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