This workaround keeps nicotine pouches available in practice while technically banning the tobacco-free versions
Ponni Subbiah, Pfizer's Vice President of Medical Affairs, told me over the phone, "We feel a causal relationship has not been established, but it cannot be excluded, so it's something we need to evaluate." She also pointed out that nicotine withdrawal is associated with neuropsychiatric events and that "it's important to keep in mind that smoking by itself is associated with an increased risk of suicide--heavy smokers more than light smokers." In the meantime, the company believes the label change it recently made warning people about the possible side effects is sufficient
Young users in our study perceived e-cigarettes as a social tool since they gave them the opportunity to connect with other peer users
Recommendations for ends core measures for TCORS studies
Additional information on tobacco product use, nicotine vaping, alcohol use, and illicit drug use, including prescription drug misuse, is provided in other sections of this report
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