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Nicotine in any form is highly addictive, said Levy, but the most addictive products are ones that get nicotine to the brain the fastest at the highest concentrations, making nicotine pouches a very addictive form, she said, especially for children and young adults, whose brains are more susceptible to addiction and are first being introduced to nicotine through the pouches

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They include: Relaxation of the upper airway muscles caused by nicotine Increased upper airway inflammation Changes in sleep patterns (increased sleep deprivation, sleep fragmentation, etc.) More frequent sleep arousal caused by nicotine Research suggests that smoking can disrupt healthy sleep patterns