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As of 2026, their role in step-down strategies using progressively lower-strength pouches to taper nicotine intake is an increasingly discussed approach among harm-reduction advocates [6]

In contrast, in one letter that the OHP sent to a contractor addressing its review of a progress report, we identified that the OHP staff did not provide any feedback addressing next steps related to the remaining work that the contractor had reported as not yet startedsuch as partnering with local colleges to increase interest in dental careers