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Massachusetts saw approximately $99.9 million in nicotine pouch sales in 2024, about 19,626,719 cans

Chronic Obstructive Pulmonary Disease (COPD) includes emphysema and chronic bronchitis

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Some nations, especially those within the EU, impose stricter tobacco import regulations

Abbreviations BOE: Biomarker of exposure BOPH: Biomarker of potential harm CI: Confidence interval ECIG: E-cigarettes ER: Excess risk ETP: Established tobacco product HTP: Heated tobacco product RR: Relative risk ST: Smokeless tobacco References Bittoni MA, Carbone DP, Harris RE