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While there is some evidence generally showing small effects that using another nicotine product first can lead to cigarette smoking, prior use of another nicotine product does not appear to be a major driver of becoming a regular smoker

As depicted in Chart 15, overall voucher use has grown nearly continuously since February 2022, but with a markedly different composition: through the end of FY 2025 mandated vouchers increased 39 percent while low-income vouchers have grown 674 percent

While this may seem safer than the over 4,000 harmful chemicals that are found in burning tobacco, smokeless tobacco has its own risks

Although they dont become addicted immediately, there are 2 stages that usually precede addictionthese include tolerance and dependence

What Affects How Long Nicotine Stays in Your System