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The cynic in me says that tobacco ads have been so curtailed globally that the tobacco industry must have a role in it, says Becky Freeman, associate professor of public health at the University of Sydney

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The vocal cords are complicated structures

Although there was no categorization for snus or nicotine pouch users, based on the answers of respondents, we decided that if respondents used more than 10 sachets/pouches per day, they were categorized as heavy sachet users, but those who used fewer than 10 sachets/pouches were categorized as light sachet users