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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

In order to help prevent more young people from seeking out products such as oral nicotine pouches, parents and teachers can start having conversations with their children or students about these dangers

Childhood Cardiovascular Risk factors and Adult Cardiovascular events

However, smoke-free alternatives, such as oral smokeless products, do not burn tobacco

Although we successfully established a dose-response relationship between smoking and the risk of ALS, it is important to note that our findings do not provide definitive evidence of a causal relationship