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Fluid buildup behind the ear drum leads to middle ear infections ( Picture 1 )

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The Iceland Directorate of Health says initial results from its monitoring indicate that the use of nicotine pouches actually went down in the first quarter of 2025.[37] A key part of the growth of nicotine pouches was their relative affordability compared to snuff, and it is important that Icelands government continues to ensure the taxation of safer nicotine products remains at a level that incentivises their use over more harmful alternatives

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Diagn Interv Imaging 2014;95:771-777