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Prevalence and perceptions of flavour capsule cigarettes among adults who smoke in Brazil, Japan, Republic of Korea, Malaysia and Mexico: findings from the ITC surveys Christina N Kyriakos, Olufemi Erinoso, Pete Driezen, James F Thrasher, Kota Katanoda, Anne C K Quah, Takahiro Tabuchi, Cristina de Abreu Perez, Hong Gwan Seo, Su Young Kim, Amer Siddiq Amer Nordin, Farizah Mohd Hairi, Geoffrey T Fong, Filippos T Filippidis BMJ Open 6

Third, the cross-sectional design precludes any causal inference between sociodemographic factors, psychosocial constructs, and tobacco-related behaviors or attitudes

Avoiding judgment and harsh tones can help prevent defensive reactions.

However, it should be noted that if swallowing spit becomes excessive or uncomfortable, it may be a sign to reduce the pouch's use or consult with a health professional