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While these pouches avoid smoke, many users still report side effects like heartburn, gut irritation, or lip burn

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A single dose of snuff, held in the mouth for about 30 minutes, delivers as much nicotine as four cigarettes, leading to nicotine levels in the blood that can be as highor even higherthan those from smoking

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The only other thing that they could possibly try to do would be to lobby the legislature, to try to get [another] referendum on a future statewide ballot, Goodwin said