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If it is chewed continuously like regular gum, nicotine may be swallowed instead of absorbed through the mouth, reducing its effectiveness and causing stomach irritation

doi:10.1007/s00213-016-4391-x

These were detailed in a celebratory book the company published after the fact in China called Research on Counterproposals to the WHO Framework Convention on Tobacco Control and Countermeasures to Address Its Impacts on the Chinese Tobacco Industry. Tapping dozens of tobacco executives and staff across the country, China Tobacco formed an internal team focused on advancing alternatives to draft language viewed as harmful to the company

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Sometimes the tax on high-quality products could be as much as 40%, depending on the country