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ONPs, in particular, present an interesting challenge as they resemble pharmaceutical nicotine replacement products (NRT).100 Superficially, oral nicotine lozenges may look like NRT lozenges, though they are often sold at higher concentrations (8 mg vs 4 mg) and with more attractive flavouring, marketing and packaging (and lacking NRTs extensive labelling of potential side effects or instructions for use)

By offering the same effects without the agricultural process, synthetic nicotine has gained significant attention in products like e-liquids, nicotine pouches, and other alternatives