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The diagnosis of TUD as introduced by the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5) (90) now allows for a broader inclusion than past definitions
All individuals were born in, and had parents from, Denmark, Norway, Sweden, Iceland, or the Faroe Islands this ethnogeographic limitation was chosen to limit the effects of genetic variation in the sample
Vaping, or use of e-cigarettes, is not a proven way to quit tobacco
Pros, Cons, and Who They're Best For Pros: Completely nicotine-free, natural ingredients, satisfies oral fixation, widely available Cons: Requires spitting (unlike pouches), texture can be off-putting for those unfamiliar with dip, limited flavor innovation Best for: Former dual users (vaping + dip), people who prefer a more traditional oral tobacco-style experience without the tobacco Pro Tip: If you're exploring alternatives to vaping for oral fixation specifically, tobacco-free nicotine pouches offer a similar mouth-feel to herbal chew but are spit-free and available in far more flavors and strengths
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