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Key Takeaways Yes nicotine pouches do raise blood pressure, typically by 510 mmHg systolic within 520 minutes of use The effect is transient blood pressure normalises within 3040 minutes after the pouch is removed Higher-strength pouches produce a larger and faster BP elevation than lower-strength variants The effect is caused by nicotine itself activating the sympathetic nervous system not by tobacco, combustion, or additives People with pre-existing hypertension or cardiovascular conditions should consult a doctor before using any nicotine product Nicotine pouches do raise blood pressure

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The northern end is paved