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The average free nicotine in pouched MST has also dramatically increased, [11, 65] demonstrating the creation of a parallel graduation process of exclusively pouched MST products that range from low to high nicotine levels

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A recent study reveals that many vape products still contain nicotine, propylene glycol, glycerol, and other potentially harmful chemicals, which can stimulate the nervous system, raise blood pressure, disturb heart rate, and increase the risk of irregular heart rhythms in some users

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