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Studies have shown that nicotine negatively influences areas of the brain associated with learning, memory, and reward, making it harder to quit using tobacco or nicotine products later in life. Other ingredients, such as preservatives and flavorings in nicotine pouches, may also cause oral irritation

This is primarily because no ENDS manufacturers have applied to the FDA to develop their product as a cessation therapy, a prerequisite for conducting clinical trials in the United States

Anyway, they kept the cover art as is, but did use a cigarette-less version for promotional posters and billboards