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There is an urgent need for longitudinal studies tracking cardiovascular health indicators (e.g., blood pressure, arterial stiffness, endothelial function biomarkers, subclinical atherosclerosis) and clinical events (MI, stroke) in adolescents and young adults who initiate and continue using nicotine pouches, comparing them to non users and users of other tobacco products

Addressing these habits simultaneously provides couples with the best opportunity for healthy fertility

Variables showing significant associations in bivariate analyses were included in multivariable logistic regression models to adjust for potential confounders

These devices typically include surge protection, overload prevention, and compact designs