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[16] Equipment intended to be powered by the receptacle needs to account for intermittent contact, and voltages outside the nominal 12 V DC, such as maximum voltage 916 V continuously, or maximum voltage of 20 V lasting 1 hour, 24 V lasting 1 minute, and 40 V lasting 400 ms

Besides, smoking also reduces the amount of oxygen inhaled, negatively affecting gas exchange during sleep, making OSA worse

Nicotine acts as a stimulant, increasing alertness and heart rate, making it harder to fall and stay asleep

Treatments may include medications like sildenafil (Viagra) or Alprostadil, as well as lifestyle changes like exercising, eating healthily, and reducing stress