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Warning signs may include:Hidden tins or sachets in bags or pocketsFrequent use of mints or chewing gumMouth soreness, nausea, headachesSudden mood swings, irritability or secrecyHelp for quittingExperts emphasise early intervention

Difficulty coughing and breathing following surgery can also cause atelectasis, which is lung collapse

doi: 10.1016/j.gheart.2012.06.010 82

Heres the proper technique: Locate the arrows on the tins lid and base Squeeze the sides gently while turning Twist counter-clockwise to open Note the compartment on top for used pouches Step 3: Place the Pouch Correctly This is the most important part of learning how to use nicotine pouches : Wash your hands first (especially important in Londons urban environment) Take one pouch from the tin Lift your upper lip gently Place the pouch between your gum and lip Position it to either side of your front teeth (not directly in the centre) Press gently to ensure it sits comfortably Common Mistake to Avoid: Dont place the pouch under your tongue or in your lower lip this can cause excessive salivation and discomfort