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We see Zyn challenges on TikTok, where people keep adding more and more pouches to their mouth, she says, which could lead to nicotine overdose or poisoning. Moreover, she adds, if people use large amounts of nicotine for long periods of timethose who regularly double up on pouches, for instance, a practice known as double-deckingtheir baseline heart rate can start creeping up

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Additionally, Canadian customs regulations come into play when importing cigarettes

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Your cotinine levels also depend on how long since you last ingested nicotine