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Although part of a lower strength may at least in theory be attributable to a lower ability to voluntarily activate the muscle, we found no difference in voluntary activation between smokers and non-smokers, and if anything, even an increased VA has been reported in smokers 19
Experts have said that the study was significant as not only does it highlight the magnitude of problems associated with chewing of tobacco, but it also shows those who chew tobacco have a higher mortality rate and are at a higher risk of respiratory diseases such as tuberculosis
So, slightly disappointing but still enjoyable
If youre completely new to pouches, you can also read our guide on what are nicotine pouches to understand how they work
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