Nicotine replacement therapy (NRT) is often regarded a safe alternative in pregnancy
There is no point in persisting with the fallacy that market behavior can be determined in thousands of premarket assessments of individual products
Adjusting for a wide range of confounders attenuated the relative rates but the effects of alcohol and smoking still remained
Where pouches have a clear advantage: No combustion means no ash, no smoke, and no plastic-filtered butt litter No tobacco growing, so none of the deforestation, pesticide use, or water consumption that comes with it No batteries or electronics, so no e-waste Less packaging than single-use vape devices Lower litter risk than cigarettes, especially when the catch lid is used to store used pouches until a bin is nearby Where there are still limitations: Nicotine pouches are not fully biodegradable, because it contains nicotine and other compounds, it breaks down slowly If pouches are dropped in the environment, they can harm wildlife and contaminate waterways The can is recyclable, but it is still made from plastic The honest take: nicotine pouches are a lower-impact choice than cigarettes or single-use vapes, but they are not impact-free