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A 2025 Norwegian cohort finding discussed in this oral-health-focused review of tobacco alternatives reported that nicotine pouch users had a 2.3x higher risk of gingival inflammation than traditional snus users after one year

A recent report by the Joint Action Tobacco Control concludes that menthol facilitates inhalation.125 On this basis, some member states, such as Germany and Finland, currently prohibit use of menthol at any level (not just as a characterising flavour) based on its inhalation facilitating properties

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