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For smokers considering a switch, affordability is a major concern

Herring cites a separate study on the negative side effects of inhaled aerosols published by the American Dental Association Science & Research Institute

A major contributor to this rise in spending is likely due to the effects of a higher prevalence of cigarette smoking among people who were newly insured under the Patient Protection and Affordable Care Act from 2010-2014 and their subsequent increased use of medical services

Pros & Cons: Nicotine Pouches Pros Smoke-free, odour-free No lung exposure Wide range of strengths & flavours Discreet and clean Can support reducing smoking Cons Mild gum tingling for some users Slower nicotine hit than cigarettes Pros & Cons: Cigarettes Pros Fast, strong nicotine delivery Familiar ritual for long-term smokers Cons Smoke inhalation Strong smell High health risks Expensive habit Public restrictions Who Should Consider Nicotine Pouches