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Smoking tobacco exposes individuals to a range of harmful chemicals, including nicotine, tar, and carbon monoxide

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Others have partially attributed high TSNA levels to fermentation at elevated temperatures, microbial contamination occurring in processing, and prolonged storage (Ahmed and Mahgoob Citation2007

Dual use of oral nicotine pouches and e-cigarettes: In 2024, 3.6% of teens reported past-year use of both oral nicotine pouches and e-cigarettes, compared to 2.1% in 2023

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