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However, what the American Lung Association is not informing the public is that the levels of nitrosamines detected in nicotine pouches were extremely low -- essentially trace levels -- and that these levels are two orders of magnitude lower than the nitrosamine levels in some brands of nicotine gum, which the American Lung Association heavily endorses. METACOMMENTARY: Why Metas move to community notes is good

The World Health Organization [10] and multiple meta-analyses have concluded that overall tobacco smoking is associated with a higher risk of dementia and cognitive decline [11] , the exact opposite of what influencers claim