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The Harm Reduction Ladder Health professionals increasingly view the nicotine product landscape as a harm reduction continuum: Cigarettes highest risk (combustion + tar + carbon monoxide + carcinogens) Dip/chewing tobacco high risk (carcinogens + oral tissue damage) Snus (Swedish, pasteurized) moderate risk (some TSNAs, but lower) Nicotine pouches (Zyn) lower risk (no tobacco, no carcinogens) Nicotine-free pouches (Nectr) lowest risk (no nicotine, no tobacco, no carcinogens) Each step down the ladder reduces harm
Chantix Generic name: varenicline [ ver-EN-e-kleen ] Drug classes: Cholinergic agonists, Smoking cessation agents The Chantix brand name has been discontinued in the U.S
Often sweet, tart, or tangy, they work as excellent standalone flavors or mixers
14 Although smoking has decreased, certain groups, such as people with mental illness, have higher rates of smoking than the general population
F., Scholl, S
Notably, even in 2015, more than 35 percent of adults reported experiencing sunburns, either through outdoor exposure or indoor tanning, in the past year (222)
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