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Increased risk of heart disease, emphysema, and chronic bronchitis Chronic bad breath/halitosis Stained teeth Increased risk of tooth loss Due to lack of inhalation, nicotine is absorbed through tissues of the mouth causing frequent dry mouth problems

Kessel Schneider S, Buka SL, Dash K, Winickoff JP, and O'Donnell L

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However, drawbacks consist of side effects such as skin irritation from patches, gastrointestinal discomfort from gum or lozenges, and the potential for continued nicotine dependence if not used as directed