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Prasad Eye Institute (LVPEI), Hyderabad told IANS

Nicotine pouches are the second-most commonly used tobacco product among youth, with nearly half a million middle and high school students using nicotine pouches in 2024

[a] Source: Agrculteral Research Service (ARS) Nutrient Database for Standard Reference (SR), Release 17

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Studies on women with subclinical hypothyroidism report that smoking results in exacerbation of the hypothyroid state (TSH and fT4 in smokers compared to nonsmokers) and affect consequences of hypothyroidism like lipid profile abnormalities and cardiovascular risk in an adverse manner