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Although scientists are still studying the long-term health impacts of nicotine alone, existing research shows that sustained nicotine use can cause Increased risk of cardiovascular disease Elevated blood pressure and heart complications Nicotine poisoning due to high concentrations in pouches Cognitive and mood disorders , particularly in young users Higher likelihood of progressing to traditional cigarette use Why Schlesinger Law Offices

Historically, miang kham was part of a welcome ritual, offered as snacks to visitors along with betel leaves and tobacco for chewing