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First, the more underpublicized issue: because of its increase, this cigarette tax is likely to lead to a growth in cigarette smuggling, an unintended consequence of high cigarette taxes

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Taking it out surgically involves cutting through the gums, drilling the surrounding bone, and sectioning the tooth into pieces

This is much higher than the maximum nicotine content of 6.73 mg/pouch determined by Stanfill et al focusing on nicotine pouches sold in the USA by bigger brands.12 The highest nicotine content determined in a study by a manufacturer was 11.9 mg/pouch.11 Thus, we are the first to report products with nicotine contents of up to almost 50 mg/pouch