Some turn to Zyn nicotine pouches as a “safe alternative” to cigarettes and vapes.

Nicotine pouches contain powder instead of a tobacco leaf.

They are placed between the gums and the cheek, with no spitting involved.

Tobacco-free nicotine pouches in a bowl

Alexander Farnsworth / Getty Images

These are also known by brand names such as:

Who Is Most at Risk?

Those who are already at cardiovascular risk may want to take extra care.

A Word From Verywell

Zyn is a highly addictive nicotine pouch that is associated with cardiovascular problems.

Christopher Lee, MD

It can lead to an increased risk of atherosclerosis and potential heart attacks.

In adolescents, it can also affect attention, learning, and memory.

But this isn’t necessarily the case.

These smokeless pouches are new, and the long-term effect is still unknown.

There is no way to be sure what will happen over many years of use.

In the United States, Zyn still cannot be legally sold to anyone under the age of 21.

After you stop using nicotine, you may find yourselfcraving the way nicotine makes you feel.

Will there be ongoing repercussions?

The good news is thatyour body can turn things around.

Then, within a year or two, your risk of heart attack is precipitously reduced.

By quitting smoking, it is possible to add as much as a decade to your life expectancy.

If you quit your Zyn habit, it is possible to turn around your heart health.

Harvard TH Chan School of Public Health.Zyn pouches safer than smoking but still pose risks.

Yale Medicine.What parents should know about nicotine pouches.

St. Vincent’s Medical Center.Is Zyn safe?

Centers for Disease Control and Prevention.Health effects of smokeless tobacco.

University of Nebraska–Lincoln.Nicotine pouches: Are they safer, than chewing, smoking or vaping?

Yuan M, Cross SJ, Loughlin SE, Leslie FM.Nicotine and the adolescent brain.J Physiol.

Ren M, Lotfipour S.Nicotine gateway effects on adolescent substance use.West J Emerg Med.

I want to quit smoking!

American Lung Association.Benefits of quitting.

American Cancer Society.Health benefits of quitting smoking over time.