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People who use alcohol and smoke together are in greater danger

We used a thematic analysis approach to explore how participants rationalized existing warnings and interpreted the novel messages

Evaluate and adjust based on usage patterns: If using more than 10 pouches daily consider moving up in nicotine strength If experiencing discomfort try lower nicotine strength If cravings aren't satisfied try higher strength Heavy smokers typically start with 6mg strength, then either maintain that level or gradually work down to 3mg as tolerance adjusts

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