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, (2008), suggested that the common additive betel leaf (from the piper betel plant) has led to the labeling as betel nut.[7] Hence, Zain et al

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Data published in October 2025 suggest that an estimated 1.6% of adults in England used oral nicotine pouches, equating to around 777,000 people, while 14.2% used vapes and 15% smoked cigarettes 3,4

Supplementary Materials Data Availability Statement The data underlying this article will be shared on reasonable request to the corresponding author upon the publication of all planned research from the project.

Standardized packs have pictorial warnings covering 65% of the main display areas and two additional text warnings (Smoking kills quit now and Tobacco smoke contains more than 70 substances known to cause cancer) on the sides of cigarette packs or inside of pouches