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Feeling uncomfortable: Discomfort, such as your pouch feeling dry or lighter, is a good indicator that its time to remove the pouch from the mouth and dispose of it

If youre still using nicotine products, know that each puff, pinch, or chew keeps you tied to the risks

Depression and Anxiety: Nicotine and tobacco can lead to mood swings and heightened anxiety when their effects wear off

Pain may also be worse at night due to not being distracted by the events of the day

Conclusion: School-based smoking prevention interventions in low- and middle-income country settings must be proactive rather than reactive, multi-dimensional and culturally appropriate