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In this occupational context, individual beliefs may be insufficient drivers of behavior in the absence of enabling conditions

Nicotine in the mouth and stomach can react to form N-nitrosonornicotine, [105] a type 1 carcinogen, [106] suggesting that oral consumption of non-tobacco forms of nicotine, such as nicotine gum, may be carcinogenic

12 An analysis of the 2022 National Youth Tobacco Survey (NYTS) found that 11.3% of middle and high school students reported using a tobacco product in the last 30 days, with higher rates among young people experiencing high levels of psychological distress

Many smokers find it smoother and less intense overall