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Puff length also influences how much nicotine you inhale

Cardiovascular consequences, including elevated heart rate and blood pressure, contribute to the potential for cardiovascular disease, while reproductive health may also suffer, with implications for fertility and pregnancy outcomes [3, 5, 6]

doi:10.1161/CIRCGENETICS.115.001225 5

Between late 2019 and early 2022, the overall sales of nicotine pouches rose from 126 million units to over 808 million units, which is an increase of nearly 700% in less than three years

For the same reasons that others have mentioned (health and family), many smokers with mental illnesses wish to stop, but they may be more susceptible to relapse due to stress and other unpleasant emotions