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The A 2022 study of 44 nicotine pouch products and two nicotine-free pouches found that 26 of the samples contained cancer-causing chemicals known as tobacco-specific nitrosamines (TSNAs)

Rural residents may face more barriers to using smoking cessation services than urban residents, or they may be in an earlier stage of motivation to quit. Parker said that smoking intervention at the clinical setting, health system or population level might improve reach and sustainability of cessation services for rural residents

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