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Studies with potential overadjustment or adjustment for factors in the causal pathway were also flagged for further examination in sensitivity analyses

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Table: Nicotine Pouch Legality Across the World United Kingdom Legality: Legal Regulation: General consumer product with age restrictions Sweden Legality: Legal Regulation: Snus and pouches are legally permitted Netherlands Legality: Illegal Regulation: Recently banned Germany Legality: Illegal Regulation: Sales under food safety regulations France Legality: Illegal Regulation: Recently banned Belgium Legality: Illegal Regulation: Complete ban United States Legality: Legal but regulated Regulation: FDA-regulated as tobacco product Canada Legality: Heavily Regulated Regulation: Health Canada not approved for sale Australia Legality: Illegal without prescription Regulation: Sale of pouches only approved with a prescription New Zealand Legality: Illegal Regulation: Allowed under tobacco-free laws with age restrictions Vietnam Legality: Legal Regulation: Under heavy scrutiny India Legality: Illegal Regulation: Broad bans on oral nicotine including pouches South Africa Legality: Legal Regulation: Limited regulations Turkey Legality: Legal Regulation: Still uncommon Brazil Legality: Illegal Regulation: Health Regulators have banned all oral nicotine products Mexico Legality: Legal Regulation: Still uncommon UK Nicotine Pouch Rules In the UK, nicotine pouches sit in a bit of a grey area