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A look at Amazon customer reviews of these products, however, is sobering: Some users complain about flavor and unpleasant side effects, saying, for instance, that the products taste like black leaves and that the taste becomes unbearable after four or five puffs

Without that protective layer, the sensitive structures in the socket are left completely exposed to air, food, and bacteria

In response to these regulatory changes, brands are increasingly focusing on user-generated content and affiliate networks

Policymakers should recognize the potential of tobacco harm reduction (THR) in reducing harm, regulate nicotine products based on their relative risk profile, encourage healthcare professionals to embrace THR as a harm reduction strategy, and empower THR users to advocate for supportive policies, the report says