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"This era of over-the-top hucksterism went on for decades, and it was all blatantly false," Dr

In a 2025 cross-sectional study of medical students in Saudi Arabia, 62.9 percent of nicotine pouch users reported quitting smoking entirely, and "more than half noted health improvements." A 2024 study of a randomized controlled trial published in Nicotine & Tobacco Research found that low-income adults who smoked daily and were not planning to quit significantly reduced their cigarette consumption after being given nicotine pouches

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"If you don't start, you never have to worry about stopping," she said