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The Mayo Clinic recommends combining behavioral strategies with physical alternatives when managing tobacco cravings suggesting that the ritual replacement aspect of pouches (something to do with your mouth, something to hold) is a genuinely useful component of the switch, not just a nicotine delivery mechanism [9]

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Regarding the presence of previous quit attempts, it was examined whether the participant had ever attempted to quit smoking in the past year

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The FDA has expressed serious concern over the increased risk in this population since nicotine use in adolescents and young adults may re-wire their brain and lead to years of addiction