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When symptoms do appear, they're often mistaken for something less serious, like a cold or allergies, according to the Cleveland Clinic

The wintergreen segment accounted for a revenue share of 41.3% in 2025, as wintergreen remains the single most popular flavor profile among smokeless tobacco consumers in the United States, where it has held dominant market position for several decades due to its familiar and widely accepted taste profile among adult users

And What's the Solution

"Another reason might be that nicotine enhances the reinforcement of stimuli, so in the absence of nicotine sweet smells might seem less pleasant." Fellow author Dr Mei Peng said the findings also have some implications on vaping effects on eating behaviours among young people