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Rapid elimination of their use will dramatically reduce this public health burden." And the former FDA Commissioner, Scott Gottlieb, clarified in a 2017 speech that it is not the nicotine itself causing disease, noting that "the nicotine in cigarettes is not directly responsible for the cancer, lung disease, and heart disease that kill hundreds of thousands of Americans each year." Circling back to nicotine pouchesthey do not contain the toxic products from tobacco leaf or its combustion, and they do not involve inhalation into the lungs

In comparison, chemotherapy and radiation therapy can also damage healthy cells, leading to unpleasant side effects

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