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Rapid elimination of their use will dramatically reduce this public health burden." And the former FDA Commissioner, Scott Gottlieb, clarified in a 2017 speech that it is not the nicotine itself causing disease, noting that "the nicotine in cigarettes is not directly responsible for the cancer, lung disease, and heart disease that kill hundreds of thousands of Americans each year." Circling back to nicotine pouchesthey do not contain the toxic products from tobacco leaf or its combustion, and they do not involve inhalation into the lungs
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In fact, the tobacco industry has feared such an alliance among these different camps, and has sought to invest in environmental advocacy that emphasizes TPW cleanups, hand-held ashtrays, butt receptacle installations, and other downstream approaches [13]
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