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Before taking this medicine Ask a doctor or pharmacist if it is safe for you to use Nicorette if you have: heart disease, heart rhythm disorder

Maher Karam-Hage, a tobacco treatment expert and addiction specialist at the University of Texas MD Anderson Center, explained in a center article

A plethora of smokeless tobacco products lead to unacceptable exposure to multiple carcinogens, including the tobacco-specific nitrosamine N -nitrosonornicotine, a likely cause of the commonly occurring oral cavity cancers observed particularly in South-East Asian countries

ZYN is the top-selling nicotine pouch brand in the world