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Nicotine in any form is highly addictive, said Levy, but the most addictive products are ones that get nicotine to the brain the fastest at the highest concentrations, making nicotine pouches a very addictive form, she said, especially for children and young adults, whose brains are more susceptible to addiction and are first being introduced to nicotine through the pouches

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That was, and still is, the deciding caveat

of the 40 states with minor sales restrictions, 12 laws became effective in 2013 and 16 thus far in 2014