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Donna Shelley, professor and vice dean for research at the New York University School of Global Public Health, said that while nicotine pouches don't cause the same health problems as products containing tobacco, she wouldn't call them "safe." "Some of the negative health effects of the nicotine pouches include gastrointestinal symptoms, like nausea, gum soreness and ulcers, and also some cardiovascular risks like elevated heart rate," said Shelley, who researches tobacco control, adding, "We don't know the full safety profile yet." A 2023 study that compared Zyn pouches to smokeless tobacco and nicotine replacement products found that while Zyn doesn't contain "nitrosamines or some of those real known cancer-causing agents, it does contain some chemicals like formaldehyde that the FDA has said are potentially harmful," she said

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Nationally, the rate was 3.8%.2 In 2019, 6.1% of high school students in Illinois smoked cigars, cigarillos or little cigars on at least one day in the past 30 days

Full tea leaves rolled into small shiny gunpowder-like pellets
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I may not always know where I will use it, but I pack it in my car and bring it home