- Youth lifetime use rose: 3.0% (2023) → 5.4% (2024).
- Past-30-day youth use doubled: 1.3% → 2.6%.
- Adult ever-use was 2.9% in a national sample.
- FDA authorized 20 oral nicotine pouch products (Jan 16, 2025).
- Some pouches contained formaldehyde, metals, and TSNAs.
- Evidence was observational; long-term oral risks unknown.
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