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(We believe the complaints are without merit and will be vigorously defended, a PMI spokesperson told me over email, adding that Zyn offers adult-orientated flavors.) On their surface, nicotine pouches seem to be a fad like any other, but they are the end result of a century of nicotine marketing and development that began with cigarettes and has now moved beyond

Midwestern States : States like Kentucky, Ohio, and Indiana show elevated smoking rates of 17.40%, 17.10%, and 16.20%, respectively, indicating a regional trend of higher tobacco use

Additional reporting by Chris Iliades, MD