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While nicotine pouches may present a lower health risk compared to smoking, they are not entirely risk-free

Payment of Oklahoma Tobacco Excise Taxes Payments of tobacco excise taxes are made by vendors, not by consumers, though the taxes will be passed on in the tobacco's retail price

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E-cigarettes are developed to maximize nicotine delivery (e.g., via nicotine salts, which make high concentrations of nicotine more palatable76), and some e-cigarette brands are now owned by tobacco companies.77 , 78 E-cigarette use with nicotine may reduce harms from smoking but does not address nicotine addiction, given that nicotine may continue to be consumed long term