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Since the introduction of heat-not-burn technology, their global usage has also risen, with adult users of PMIs heated tobacco product reaching almost 14 million across more than 50 markets by the end of 2019.[1] [1] PMI Integrated Report 2019, page 16.

While the correlation is very low, there is a minor link between thinning arteries and nicotine pouches

For example, researchers have found that youth may drink alcohol for social reasons (to fit in with friends or to be sociable), for enjoyment reasons (like the taste, to get a buzz, or for excitement), or to escape or cope with negative experiences or feelings (self-medication)

and the longevity is way over my expectation