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Pulmonary function testing utilized the Jaeger Vyntus system for impulse oscillometry and spirometry, and fractional exhaled nitric oxide (FeNO) assessment was carried out by using the NIOX VERO device, and all such procedures were strictly carried out as per American Thoracic Society and European Respiratory Society guidelines 11

[16] The 2025 National Youth Tobacco Survey showed that 90% of youth using nicotine pouches used flavored nicotine pouches, with mint being the most common flavor used (60.9%), followed by fruit (25%), and menthol flavored (18.1%)

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