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Thats why the FDAs pre-marketing authorization only allows nicotine pouches to be marketed as a modified risk tobacco product. The manufacturers know that the tobacco-derived nicotine in their products is not pure enough to qualify for medicinal status

In addition to an increased risk of cancer, chewing tobacco is associated with the following health risks: gum disease heart disease oral lesions, such as white patches in the mouth (leukoplakia) A However, the American Lung Association notes that chewing tobacco is associated with numerous health risks, so we shouldnt view it as a healthier alternative to cigarettes

For any health concerns, please speak with a qualified medical professional

Brunetta PG, Kroon L