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These studies reported decreased oral symptomology relative to those reported in traditional tobacco cigarette users, with the above symptoms occurring with a greater frequency than non-smokers [123]

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Despite the fact that no oral nicotine pouch is an FDA-approved cessation treatment, products like Zyn continue to market themselves as a way to stop smoking, through promotions like the Zyn 10 Challenge, [21] alongside their marketing of the product a recreational product

Overall, they wrote, students responses indicated a social environment more favorable to the use of e-cigarettes than to smoking cigarettes. But, they noted, both smoking and vaping shared common social risk factors, and a favorable e-cigarette social environment was strongly associated both with e-cigarette use and with smoking