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These physiological changes contribute to greater cardiovascular risk, undermining claims that e-cigarette use represents a safer alternative

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The top nicotine pouch brands spent nearly $25 million on advertising between 2019 and 2021, with 34.7% of ads placed across entertainment and media outlets, and 9.5% in sports media

The research, published in the journal BMC Medicine, comes at a time when there are concerns that spitting - a behaviour common among those who chew tobacco - is likely to transmit the Covid-19 virus

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