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Luke Niforatos, executive vice president of Smart Approaches to Marijuana, an advocacy group based in Washington, D.C., said pouches are extremely addictive, given their high nicotine content, and bear risks for cardiovascular and oral health. The public health community is especially worried about the impacts on underage users and young adults, he said

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Other barriers that were found unique to certain vulnerable groups included cultural values that promote sharing, kinship and reciprocity, and the maintenance of cultural identity 10

But the vaporization of the substance leads to throat discomfort for certain users

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