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Over time, this can narrow and harden your arteries, limiting blood flow and potentially leading to heart attack or stroke, according to the National Institutes of Health

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The first 48 hours will be the toughest

That's 220 toothpicks in October -- good for a career total of 7,348

Other recommended practices for in-flight use: Use discretely if approved Dispose properly in can lid compartment only Never leave used pouches in seat pockets Verify current airline policies before departure Pack only reasonable personal-use quantities (1-4 weeks' supply) Keep products in original packaging with clear labeling Carry receipts proving personal purchase Research backup nicotine alternatives available atthe destination