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Multiple factors have driven the long-term trend in cigarette declines, but we believe the largest recent contributor, particularly over the past 12 months, has been the growth of JUUL products as a true alternative for smokers

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"Nicotine pouches contain lower concentrations of carcinogens and other toxicants than cigarettes, and we therefore expect that they will carry much lower health risks than cigarette smoking," Brittney Keller-Hamilton, a scientist and assistant professor with the Center for Tobacco Research at the Ohio State University Comprehensive Cancer Center, tells Yahoo Life

Linschooten et al