On May 31 the world celebrates #WorldNoTobaccoDay
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Nearly 81% of youth ages 12 to 17 who had ever used a tobacco product reported that the first product they used was flavored, including: 88.7% of ever hookah users, 81.2% of ever snus pouch users, 81.0% of ever e-cigarette users, 68.9% of ever smokeless tobacco users, 65.4% of ever users of any cigar type, and 50.1% of ever cigarette smokers
The use cases are clear-cut: Pouch users who want an afternoon option without adding more nicotine to the day People who enjoy the pouch format but have no interest in nicotine Households where different members want different things from the same product format The ritual is identical to a standard pouch clean, discreet, nothing to spit so alternating between energy and nicotine cans throughout the day is completely seamless
Additionally, according to experimental models, smoking smokeless tobacco may increase oxidative stress, nitric oxide production, and tumor suppressor pathway downregulation, which would provide a biological justification for malignant transformation [13]
