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More Severe Symptoms for High-Nicotine Users : If the pouch contains a higher dose of nicotine or if the user is sensitive to nicotine, they might experience more pronounced symptoms such as: Nausea Vomiting Dizziness Increased heart rate These effects occur because swallowing nicotine introduces it to the digestive system, where absorption into the bloodstream can be quicker and more concentrated than oral absorption, leading to an overload of nicotine in the body