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Tobacco Use Among Middle and High School Students - United States, 2011-2016

Nicotine pouches release nicotine and other compounds into the bloodstream through the gums, which counts as intake

Although part of a lower strength may at least in theory be attributable to a lower ability to voluntarily activate the muscle, we found no difference in voluntary activation between smokers and non-smokers, and if anything, even an increased VA has been reported in smokers 19

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