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Starting with historical examples and including Haypps e-commerce sales data from Sweden and Norway collected from 2018 to 2025, Dr Lund illustrated the current market situation for nicotine pouches, discussed the inconsistent international regulatory landscape, examined the assumed harm potential and usage patterns, and highlighted ongoing knowledge gaps

Withdrawal often brings digestive tweaks, like slower emptying or extra gas, mimicking reflux

Misleading descriptors and other aspects of cigarette packaging and advertising can lead consumers to incorrectly believe that some cigarettes are less harmful than others

Cigar manufacturers have also relied on flavors to increase the appeal of their products