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While these risks are different, here's a brief overview: Prolonged use of nicotine can cause nicotine addiction Nicotine is a stimulant that may cause lightheadedness Using strong nicotine pouches could cause nicotine overdose You might need more hydration because of nicotine pouches Nicotine is a stimulant that can often cause a sense of elevation

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"Naturally Complex: Perspectives and Challenges Associated with Botanical Dietary Supplement Safety Assessment." Food and Chemical Toxicology , 118, 963-971