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As of August 2024, stricter regulations require nicotine pouches to be sold only in pharmacies behind the counter, with limited flavors (mint and menthol only)

When the harvested leaves are cured and dried, compounds within them are converted into tobacco-specific nitrosamines (TSNAs), a class of well-known and intensely studied carcinogens

Black mold (scientifically called Stachybotrys chartarum) produces these smelly chemicals as part of its natural growing process

Therefore it seems that nicotine harms should not be exaggerated when legitimate concerns are framed, for example with concerns raised by animal studies but scant human evidence that it causes permanent brain damage when decoupled from all the other toxins in inhaled smoke or that nicotine itself either causes or strongly promotes cancer