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The use of electronic cigarettes by teenagers remains a public health issue, with 10% of high school students reporting that in 2023, a different type of flavored nicotine product will become increasingly popular: oral nicotine bags.
As the number of smokers decreases, tobacco companies have shifted their focus to “smoke-free” tobacco products, including oral nicotine pouches. These bags are sometimes referred to as “lip pillows” or “upper lips” because they are placed between the lips and gums, usually below the upper lip. The use of oral nicotine pouches is similar to that of snuff – an oral pouch containing chopped tobacco leaves – but unlike snuff, they contain nicotine powder instead of tobacco leaves. Nicotine bags contain any form of nicotine, which is harmful to young people. Due to the lack of tobacco leaves, the US Food and Drug Administration has not classified oral nicotine bags as smokeless tobacco products.