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The Three-Stage System: 1

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Smokeless tobacco products such as paan masala, gutkha, khaini, mishri and snuff are chewed, sucked or sniffed rather than smoked, with the nicotine absorbed through the nose and mouth

Nicotine in any form is highly addictive, said Levy, but the most addictive products are ones that get nicotine to the brain the fastest at the highest concentrations, making nicotine pouches a very addictive form, she said, especially for children and young adults, whose brains are more susceptible to addiction and are first being introduced to nicotine through the pouches

March 18, 2026 By: Clyde C

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