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(CNN) Eighty national public health groups, including the American Heart Association, the American Medical Association, the American Academy of Pediatrics and the American College of Preventative Medicine, placed a full-page ad in Sundays edition of the Washington Post in support of a federal ban on menthol in cigarettes and all flavored cigars

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This means the "felt" effect isn't directly comparable: pouches provide a steadier, longer-lasting nicotine release rather than the sharp spike and crash associated with smoking

By the way, the amount of tar and nicotine is measured in laboratory conditions on special smoking machines at a fixed average number of puffs