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Not only is nicotine harmful to developing brains, but if someone is nicotine dependent and if they cannot access nicotine pouches, they may turn to products with known harms, like cigarettes

The trend also spread to other social media sites, such as a post shared by Tumblr [5] user saiscribbles on November 13th, 2023, which gained over 790 notes in 17 days (shown below, right)

Smokers gather together in closed environments where they chat, drink, and pass cigarettes to other smokers, which increases the risk of COVID-19 infection (Figure 2)

But there are some companies who offer a break for those who use smokeless tobacco, which is tobacco that is chewed or snuffed