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The first study [34] ( n = 135,036) found that the age-adjusted RR of dying from cardiovascular disease was 1.4 (95% CI 1.21.6) for smokeless tobacco users and 1.9 (95% CI 1.72.2) for smokers of fifteen or more cigarettes per day compared with those who reported never using tobacco

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Key Benefits Educational, Fact-Based Content Covers nicotine addiction, health effects, and chemical exposure Student-Friendly Format Easy-to-read layout designed for quick understanding Take-Home Resource Tearpad format allows students to take information with them Supports Prevention Programs Ideal for vaping and nicotine awareness initiatives Perfect for Red Ribbon Week Reinforces drug-free and nicotine awareness messaging Ideal For Middle schools & high schools Health and science classrooms School counselors Drug prevention programs Community health initiatives This nicotine pouch awareness handout is a valuable tool for reinforcing classroom learning and supporting informed decision-making