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The relatively lower frequency of crushing capsules among Australian smokers (30% never or rarely crush vs 13% in the US and 19% in Mexico) may indicate Australian smokers relative lack of understanding about capsule technology

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The bottom line for your heart Smoking: Highest risk for heart attack, stroke, and death Vaping: Still harms blood vessels and increases cardiac risk Nicotine pouches: Avoids smoke exposure, but still strains the cardiovascular system and is addictive The best thing you can do for your heart is avoid nicotine altogether, Dr