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Noubiap JJ et al (2019) Active smoking among people with diabetes mellitus or hypertension in Africa: a systematic review and meta-analysis

You need raw tobacco, glycerin, flavourings, sweeteners, as well as equipment for washing, drying, cutting and soaking

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Nevertheless, dyes are used in such popular tobacco as Adalya, Al Fakher, as well as in the flavor Double Apple and some other tobaccos Nakhla

"We do know that nicotine is highly addictive, but as for the other chemicals in these pouches, there has not been enough research done to know what damage they can cause," Dr Boulton said