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Department of Agriculture in the 2015 2020 Dietary Guidelines for Americans (82)

The tobacco pouch is a product banned in the UK, and those searching for and buying Snus are receiving all-white nicotine pouches

Snus use could be a pathway from smoking to a slightly less toxic form of tobacco use, a way to maintain rather than leave tobacco dependency, or, when going from no tobacco use to snus use, a pathway into a less healthy lifestyle

Financial support This work was funded by a competitive research grant offered by the Xunta de Galicia [10CSA2080057PR] Risk factors of lung cancer in never smokers: a multicenter casecontrol study in the Northwest of Spain, partially supported by the Instituto de Salud Carlos III [PI13/01765]