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Smokers aged 18 and 19 often supply younger friends and classmates with tobacco products, but [s]ince students do not typically reach 21 years old while still in high school, increasing the age of sale would greatly reduce the number of high school students who could purchase tobacco products, according to the American Lung Association

doi:10.3233/JCB-230120 Food Chem

Studies found that 38% of non-smokers conceived in their first cycle compared with 28% of smokers

That said, exactly how you open a nicotine pouch can depends on the product in question, so you should always follow the manufacturers instructions on how to do this