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Chewing it after meals is a traditional habit in Indian cultures especially in the southern and northeastern parts of the country

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Currently, there are no data on how nicotine pouches impact oral cancer risk, but it is possible these pouches could cause the same kind of oral health issues as other smokeless tobacco products

Initially, at each interview, we planned on asking participants to complete the carbon monoxide (CO) breathalyzer test and provide a urine sample for the rapid dipstick cotinine test to determine the use of cigarettes and levels of nicotine in the body