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While exclusive use of oral nicotine pouches may reduce exposure to combustion related toxicants compared with cigarette smoking, dual use maintains chronic nicotine exposure, sympathetic activation, and endothelial dysfunction, thereby potentially diminishing the cardiovascular benefits associated with reduced cigarette consumption

This, in turn, increases glucose levels, eventually contributing to the development of type 2 diabetes

Several governments took action and joined the growing list of countries that are exposing behind-the-scenes lobbying

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This review article presents the rationale that all primary care providers have a role and a responsibility to discuss tobacco use with their patients