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Nicotine pouches held the largest share in the non tobacco nicotine market, accounting for approximately 38.4% of total global revenue in 2025, equivalent to roughly $5.6 billion

At a time when youth tobacco use is falling, FDA-authorized alternatives are available, and adult smoking rates have reached historic lows, state lawmakers should pause before turning to excise tax hikes as a default solution to budget challenges

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Consistent with earlier findings, although the risk of death increased significantly with greater smoking intensity, it declined after cessation of smoking, the research team wrote