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In 1798 the US physician Benjamin Rush wrote on the medical dangers of tobacco

It's not often you find delicious things like cocoa and licorice used to keep you addicted and give you cancer, but when billions of dollars are on the line, the companies that make up Big Tobacco are willing to find a use for even the most innocent of ingredients to keep you smoking

That said, the research available strongly suggests that tobacco free nicotine pouches carry a much lower risk profile than smoking

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