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Triggers can include things like seeing people you normally enjoy chewing around, encountering pleasurable sounds or smells you associate with chewing, or even just getting stressed out, scared, or anxious

Related: Nicotine vapes are one of the best tools to help people quit smoking, review of 300 trials suggests "There are some anecdotal reports of people switching from smoking or using traditional oral tobacco products such as 'dip' or 'chew' to nicotine pouches," Spindle said

Sasco AJ, Merrill RM, Dari I, Benham-Luzon V, Carriot F, Cann CI, et al

6 An estimated 2.2% of middle school students are current smokeless tobacco users