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Moreover, smokeless tobacco use significantly disrupted oral microbiota composition, with varying effects depending on dosage
Overall, the well-conducted studies that can separate the effects of nicotine from those of other chemicals, such as in tobacco smoke, have revealed minimal effects and harms from nicotine itself, but this area remains controversial
This is achieved through standardized household interviews covering demographics, medical history, and lifestyle, as well as on-site physical examinations, laboratory tests, and anthropometric measurements among the non-institutionalized US population
Because nicotine pouches are a relatively new product, there may be no rules regarding carrying or using themor they may fall into the same legal framework as snus or other smokeless tobacco
This could limit quitline services, including those that provide nicotine replacement therapy (NRT) for uninsured and underinsured North Carolinians, and scale back Tobacco-Free NC initiatives
