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While using a nicotine pouch does not entail inhaling chemicals as with cigarettes or vape pens, Kecia Christensen, a nurse practitioner in pulmonary disease and thoracic surgery at Nebraska Medicine, does not recommend the use of pouch products as a means to quit smoking at this time

Effect of Toxic Gases on Intestinal Microbiota The main toxic gases of tobacco smoke, including carbon dioxide, carbon monoxide (CO), hydrogen sulfide (H 2 S), ammonia, hydrogen, and nitrogen oxides (NO x ), are inhaled into lung and entered into blood through alveolar exchange, which affects the O 2 transport, decreases the pH of blood, and induces systemic inflammation and diseases ( 2 transport and results in systemic hypoxia (West, 2017)

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They dont believe that smoking is causing a problem and feel reluctant to change the habits they have formed

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