Nicotine pouches, vaping or cigarettes: Which nicotine product is actually the least harmful?

By Emma Fenske, Assistant Professor of Medicine, Addiction Medicine, University of Colorado Anschutz; Oregon Health & Science University

“Do you smoke cigarettes?” I asked my patient succinctly in a recent clinic appointment.

He matter-of-factly responded, “Not anymore, I use Zyn pouches now.”

As with any patient, I gauged his readiness – or reluctance, in some instances – to disrupt his use of nicotine.

I asked about his interest in trying nicotine replacement therapy, a medical treatment that provides low, controlled amounts of nicotine. Initially,…

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