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It really damages the blood vessel lining and accelerates the development of plaques and coronary disease. Smoking can also cause heart rhythm issues, such as atrial fibrillation and stroke

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"If someone is already using nicotine pouches and has been able to quit tobacco, I would suggest weaning off them with the goal of nicotine freedom entirely." Approved nicotine replacement therapies include nicotine patches, gum, lozenges, nasal spray and nicotine inhaler