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Key substances include: Tar : A sticky residue that coats the throat and lungs, contributing to irritation and impaired airway function Carbon monoxide : Reduces oxygen delivery in the body, placing stress on respiratory tissues Formaldehyde : An irritant that can cause burning sensations and inflammation in the throat Ammonia : Enhances nicotine absorption but also irritates the mucous membranes, causing chronic inflammation Acrolein : Damages the airway lining and contributes to inflammation These chemicals from tobacco smoke can disrupt normal respiratory function, increase sensitivity, and promote ongoing throat irritation with repeated exposure

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You may see someone with four or more pouches in their mouth at once

E-cigarettes and heated tobacco products: evidence review