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Oral nicotine pouches from brands like Zyn, Rouge, On!, and Velo have exploded in popularity nationwide, with the total monthly nicotine pouch sales increasing by 207% between January 2023 and April 2025, from $145.5 million to $446.8 million

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However, deferring tobacco cessation treatment is especially consequential for patients from marginalized communities, who bear a disproportionate burden of tobacco-related diseases

However, persistent drug use despite being aware of these negative health effects is common