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On tour today, smoking is almost nonexistent, and tobacco-free nicotine pouches have replaced much of the smokeless stuff, often called dip or chew or dirt. Away with the halos of smoke and bulging cheeks went much of the cancer risk

The most commonly reported gastrointestinal symptoms following the use of nicotine pouches were bloating (66.7%), followed by nausea (47.9%), heartburn (46.7%), and abdominal pain (46.5%)

Singling out poucheswithout showing they pose a higher health risk than other legal nicotine productslooks like moral panic when better outcomes could be achieved by passing risk-based policies

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Written By Yao-Hua Song, MD, Wendy Ketner, M.D