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Therefore, the companies were forming a research committee to investigate the issue

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Physical symptoms include: Intense nicotine cravings Headaches and dizziness Fatigue and low energy Increased appetite and weight gain Nausea, constipation, or digestive discomfort Coughing and sore throat Sweating and restlessness Psychological symptoms include: Anxiety and heightened stress Irritability, frustration, and anger Depressed mood or loss of motivation Difficulty concentrating and short-term memory issues Sleep disturbances and insomnia Mood swings and emotional volatility Psychological withdrawal often outlasts physical withdrawal by several weeks

[4] The family-owned company has over 21,000 employees, and operates more than 800 company-owned stores located in Western, Central, and Northeastern Pennsylvania, West Virginia, Maryland, Ohio, Virginia, North Carolina, and Michigan as of 2025