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They take many years to break down, and as they do, they release microplastics into the environment, mostly into water systems

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1 Nicotine absorption from NRTs (including nicotine gum, transdermal patch, nasal spray, inhaler, sublingual tablets, and lozenges) is slower than from smoking and blood levels of nicotine rise more slowly

This is a step-down therapy. Judith Prochaska, a professor at the Department of Medicine at Stanford University, licensed clinical psychologist and former president of public health nonprofit Society for Research on Nicotine and Tobacco, says the arduous FDA approval process for NRTs combined with a constant flow of novel nicotine products from Big Tobacco makes it difficult for companies like Qnovia to be successful