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Elevated cortisol consistently linked in studies with greater waist-to-hip ratios in regular smokers Nicotine-driven dopamine spikes reinforce cravings and emotional eating, especially after nicotine withdrawal Chronic stress exposure shortens telomeres and accelerates biological aginga process amplified by smoking If youve ever wondered why quitting smoking can initially spike hunger and weight gain, heres a key part of the answerits not just about willpower or snacking

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METHODS This study followed the PRISMA-ScR guidelines and the Arksey and OMalley 20 five-step framework for literature search, screening, extraction, and synthesis 21