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Common symptoms include aggression, anxiety and sleep issues (like insomnia)

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In its first year, Vaping: Know the truth our free, national youth vaping prevention curriculum by Truth Initiative and Kaiser Permanente in collaboration with the American Heart Association was used by 3,319 schools across the country

[9] The World Health Organization estimates that, annually, more than 7 million people die from tobacco-related causes, including 1 } : CS1 maint: DOI inactive as of July 2026 (link) Endocrine

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The lack of long-term data means researchers are unclear on how exposure to nicotine pouches could be harmful to ones health