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CannaMD warns patients to avoid inhaling products containing vitamin E acetate and to confirm with their dispensary that purchased products do not contain this agent

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Moreover, a study among United States physicians concluded that 40% of professionals do not have any information about nicotine pouches, and 22% of physicians advised patients to use nicotine pouches as an alternative to smoking but did not mention knowing about any risks or any other future harms that could affect the oral mucosa [21, 22]

Although smokeless tobacco does not involve inhaling smoke into the lungs, it still exposes users to high level of nicotine and harmful chemicals and toxins that can cause oropharyngeal cancer, which could affect the lungs [102]