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MSA MULTICAT is the reporting format used by the Master Settlement Agreement to track tobacco product sales data submitted by distributors to manufacturers

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Existing research has primarily focused on mucosal changes related to prior snus use, reporting improvements in lesion prevalence or severity, yet these findings are based on small samples, limited follow-up periods and self-reported outcomes, which restrict the strength of evidence ( Nevertheless, toxicological assessments indicate that switching completely from smoking to nicotine pouches may substantially reduce exposure to established carcinogens ( 5 Future directions: surveillance, research and integrated harm reduction policies To fully assess the potential of nicotine pouches in reducing oral cancer risk compared with current smoking, several lines of research must be strengthened