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The study, published in the British Medical Journal Open, is a systematic review of all peer-reviewed scientific literature published on e-cigarette use behaviors and perceptions through March of 2018

Swedish Match describes ZYN as an "alternative to smoking or dipping," noting on its website, "For those consumers concerned about the health effects of smoking or dipping, the best thing to do is quit." ZYN pouches contain nicotine, the addictive product used in cigarettes, cigars and most e-cigarettes

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E-cigarettes are slender, battery-powered devices that vaporize liquid nicotine to imitate conventional smoking