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Additional research has shown that there continues to be substantial evidence that smokeless tobacco is deadly

Oral nicotine pouches can contain high levels of nicotine, and a study from 2022 found that sales of oral nicotine pouches containing the highest nicotine concentration (8 mg) increased faster than sales of pouches with a lower nicotine concentration (6, 4, or 3 mg), raising concerns about the addictiveness of these products

Smoking tobacco exposes individuals to a range of harmful chemicals, including nicotine, tar, and carbon monoxide

Surgeon General's Reports provide definitive syntheses of the available evidence on smoking and health and use such evidence to reach conclusions on causality that have public health implications (Ref