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"Something that concerns us are claims about the product being discreet," adds Meghan Moran, an associate professor in the Department of Health, Behavior, and Society at the Johns Hopkins Bloomberg School of Public Health who is working with Spindle to research nicotine pouches

Over time, this inflammation causes the airway walls to thicken and produce even more mucus, physically narrowing the passages through which air can flow

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Smokers just look at the cigarette pack size and the number of cigarettes shown on the cigarette packet, then make a purchase