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Majorities of Americans also consider chewing tobacco (53%), cigars (37%), pipes (36%), and nicotine pouches (27%) to be very harmful. However, at least seven in 10 Americans believe that all of these substances are at least somewhat harmful. Unsurprisingly, those who smoke or vape are less likely to perceive their respective substances as harmful compared to nonsmokers and nonvapers

Sharentuya et al., 2010)

The more lean mass you build, the more efficiently your metabolism works post-quitting

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Since the nicotine input in the gum is supposed to adhere to the addiction the reason so many people struggle with it is because the gum input is so low and they figured that smokeless tobacco has more nicotine in it but still cancels out the smoking portion of the addiction