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The sensation can include a few noticeable traits: Short bursts of hiccups that appear during early nicotine pouch use A mild tickle in the throat caused by gum irritation or saliva flow Slight stomach pressure related to stomach acid production A quick spike in alertness from the effects of nicotine Some users also report minor gum irritation where the pouch rests

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The searches were repeated and extended between August 2011 and August 2014