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Users place the pouches between their lips and their gums

Cigarette tobacco seeds, cigar tobacco seeds, fronto tobacco seeds, and more

Figure 1: US adult nicotine use (NSDUH, 2023) Despite the importance of these policies to millions of Americans, the Draft Guidance is untethered from reality and is not fit for purpose

Gandhi & Jaya Prasad Tripathy School of Public Health, Institute of Health & Management, Melbourne, Victoria, Australia Balasankar Ganesan University Hospital Basel, Department of Ophthalmology, University of Basel, Basel, Switzerland Zisis Gatzioufas Department of Pharmacology, Indore Institute of Pharmacy, Indore, India Rupesh K