Circulation 139 , e917e936 (2019)
8 Alternatives to Chewing Tobacco for a Healthier Switch The best chewing tobacco alternatives in 2026 fall into five categories: nicotine-free adaptogenic pouches (like tobacco-free energy pouches, which use ashwagandha, lions mane, and 50 mg natural caffeine from guarana), tobacco-free dip made from tea leaves or corn silk (Black Buffalo, Outlaw, Smokey Mountain), nicotine pouches without tobacco leaf (ZYN, Velo), coffee and caffeine pouches (Grinds, TeaZa), and FDA-approved nicotine replacement therapies like patches, gum, and lozenges
All 3 of these new ZYN flavors are available in either 3mg or 6mg strengths
In 1980, American Snuff Co