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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

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The company has also been buying favor with consumers through advertising, and by funding community projects at home and abroad both of which violate Chinas commitments to the Framework Convention on Tobacco Control (FCTC), a global treaty overseen by the World Health Organization (WHO)

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