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For example, in one study, nicotine pouches were found to have substantially lower numbers and levels of harmful and potentially harmful constituents (HPHCs), compared with cigarette smoke, and had similar toxicant levels to oral nicotine replacement therapy (NRT) products such as gum and lozenges

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National Jewish Health

3.9 to 47.5 Times Higher Risk Based on Usage Patterns The risk of gum cancer varies widely, from 3.9 to 47.5 times higher

In 2022 FDA made significant progress to address these issues by proposing rules that would prohibit menthol cigarettes and flavored cigars, but the final rule has yet to be announced