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This is what were up against.

Modern oral nicotine Nicotine pouches sit under the lip and deliver nicotine without tobacco leaf, smoke, vapour, or spitting

From the perspectives of tobacco and nicotine regulations in Japan, they are completely different from nicotine-containing electronic cigarettes (e-cigarettes), which are gaining increasing popularity overseas

Over time, this could lead to insomnia and other mental health issues like depression and anxiety

Awareness Gap : Many users, especially in semi-urban and rural areas, lack awareness about the long-term effects of tobacco and health consequences, delaying smoking cessation efforts