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Nicotine is a powerful drug with direct effects on your blood vessels and blood pressure, so both using pouches and quitting them can trigger headaches

Former smokers had similar heart structure and function compared to people who had never smoked, which points to the importance of quitting smoking to help reverse any damage

In practice, this results in policies that apply similar restrictions across dissimilar products, limiting the ability of the regulatory framework to incentivize transitions away from the highest-risk forms of nicotine use

Ripple effects occur when the state treats that threshold inconsistently

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