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A recent network meta-analysis assessing oral health effects across non-combustible nicotine products did not identify any eligible randomized controlled trials on nicotine pouches, and the relatively short follow up period of the included studies did not allow for evaluation of their potential impact on oral carcinogenesis (60, 61)

John Buck, 41, Lancashire: I had dreamed of running a pub but the ban ruined the industry Smoker I worked for a small brewery at the time and was personally against the ban, as were many landlords and staff

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Diminishes bone density causing osteoporosis (in both sexes), ligament, tendon and muscle injuries, neck and back pain