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Those circumstances speak to a broader point: If our approach to harm reduction includes only our own understanding of the harms, rather than the experiences of the people being harmed, then were not really doing harm reductionwere just trying to make other people do what we want

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While the 20 different Zyn products authorized for marketing and sale in the US received FDA authorization for marketing as a modified risk tobacco product (MRTP) in June 2026, they are only allowed to make the specific claim that, Using ZYN instead of cigarettes puts you at a lower risk of mouth cancer, heart disease, lung cancer, stroke, emphysema, and chronic bronchitis. No other oral nicotine product has been granted an MRTP order

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Smoking increases the risks of many other cancers (see Figure 2