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Nicotine can be delivered in a variety of ways, including: Combustible tobacco (cigarettes, cigars) Smokeless tobacco (chew, snuff) E-cigarettes and vapes Nicotine replacement therapy (patches, gum, lozenges) Nicotine pouches (oral dissolvable forms like Zyn) Each method has its own risk profile, but they all share one thing in common: nicotines interaction with the nervous and endocrine systems, which can affect hormones, including testosterone

There is, however, one area in which we should have done better

For both adults and adolescents, exposure to pictorial cigarette warnings that highlighted specific health topics led to increases in correct beliefs about smoking causing the specific health topic in the warning

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