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[15] Smoking also affects training costs as smokers are more likely to be discharged during training, and are associated with $18 million per year in excess training costs for the US Air Force, and over $130 million per year for all service branches

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Though most nicotine pouches are considered tobacco-free because they are made with powder extracted from the plant instead of tobacco leaves, one 2022 study of 44 nicotine pouch products and two nicotine-free pouches found that more than 26 of the samples contained cancer-causing chemicals known as tobacco-specific nitrosamines (TSNAs)