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There has also been much less attention on the relationship between chewing tobacco and cardiovascular health outcomes, like ischemic heart disease and stroke, and the evidence that does exist has many of the same limitations as the data on cancer outcomes 8,1416

Its not a nicotine impulse its an aesthetic experience

April Roeseler, head of the California public health departments Tobacco Control Program, said she thinks the results could be similar here

Nicotine pouches, by contrast, are not approved quit-smoking treatments and often contain higher nicotine levels