Nicotine dependence
Nicotine dependence is an addiction to nicotine found in tobacco and vape products. It combines physical and psychological cravings, making it hard to quit despite health risks. How it develops Nicotine quickly reaches the brain and triggers dopamine release, creating feelings of reward. Over time, the body builds tolerance and needs more nicotine. When use stops, withdrawal symptoms appear, such as restlessness or irritability. Signs and symptoms Strong and repeated cravings for nicotine. Difficulty controlling or reducing use. Withdrawal symptoms like agitation, restlessness, and irritability. Continued use despite health or social problems. Relying on nicotine as part of daily routines or to cope with stress. Contributing factors Starting nicotine use at a young age raises the risk of dependence. Genetics can affect vulnerability to addiction. Growing up around parents or peers who smoke increases the likelihood of developing dependence. What to do Quitting often requires support. Treatment options include Nicotine Replacement Therapy (NRT), counseling, and support groups.

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Areas of Expertise Minimally invasive mitral valve repair and valve replacement Mitral valve repair without stopping the heart and without using a heart–lung machine (off-pump) Minimally invasive aortic valve surgery Minimally invasive coronary artery bypass surgery Carotid artery (carotid stenosis) surgery Aesthetic varicose vein surgery Non-surgical (endovascular) treatment of leg arteries and veins, including aneurysm repair

Dr. med. Christof Abächerli Specialist in Orthopaedic surgery and traumatology Languages German, French, English

Specialist in Orthopaedic surgery and traumatology Languages German, Italian, English, French
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