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What is Zyn? Doctors share health concerns of the popular and controversial nicotine pouch

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On Call with Dr. Kumar: What to know about Zyn


On Call with Dr. Kumar: What to know about Zyn

03:53

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It’s not a cigarette or vape, because there’s no smoke. And it’s not chewing tobacco, because there’s no tobacco or spitting required. It’s called Zyn, a brand of nicotine pouches that are gaining popularity, especially among younger demographics

Some proponents of the pouches say it gives them a rush, while others hope it’ll help them kick a smoking habit. So-called “Zynfluencers” can be seen popping the little white pouches between their gums and cheeks on social media.

Others, however, are warning against the product, noting health concerns. In addition to nicotine, the pouches also contain plant-based fibers, sweeteners and flavorings like cinnamon, citrus and coffee.

“We are hooking a whole new generation of young people on to nicotine,” Dr. Nidhi Kumar told CBS New York. “The marketing strategies, the packaging looks like candy, flavors like cinnamon and mint and even names like ‘smooth’ or ‘chill.’ I mean, who are these products appealing to? Young people.”

Sen. Chuck Schumer recently issued a warning about Zyn, describing them as a “pouch packed with problems.”

“These nicotine pouches seem to lock their sights on young kids — teenagers and even lower — and then use the social media to hook ’em,” he said at a press conference. 

Here’s what to know about health risks and concerns of Zyn. 

Swedish Match AB Concept Store As Philip Morris International Inc. Wins $16 Billion Battle For Nicotine Pouch Maker
Zyn smokeless nicotine pouches at the Swedish Match AB concept store in central Stockholm, Sweden, on Monday, Oct. 31, 2022. 

Jonas Ekblom/Bloomberg via Getty Images


Are Zyns better than vaping?

Unlike smoking and vaping, Zyn is smoke and tobacco-free — but the pouches still contain nicotine, an addictive chemical.

This makes the product legal only for those 21 and above. The brand’s warning label even states the product is not intended for use by “minors, women who are pregnant or breastfeeding, or persons with or at risk of heart disease or high blood pressure.” 

“If you do not currently use nicotine, ZYN is not for you,” the brand’s website declares. Users of the website must verify their age before perusing the page. 

Kumar told CBS New York that the pouches are “marketed as being products that can help you quit smoking,” but siad that experts “have no data to substantiate that.”  

“They’re marketed as being safe, but we really have no long-term data,” she said. 

Even if using these products as an alternative to smoking, Dr. Mustali Dohadwala, medical director and practitioner at cardiology-focused private practice Heartsafe, says he wouldn’t consider it a lesser of the two evils. Instead, “it’s certainly a different evil.” 

“It’s supposed to serve as a methodology for weaning, and you could argue that it can be even more difficult to quit a use of nicotine due to the flavor profiles… that are being marketed, manufactured and the way they’re making it stylish to consume these products,” Dohadwala says. 

Does Zyn raise blood pressure or cause gum damage?

While we don’t know the long-term effects of Zyn yet, health experts say there are several health concerns to be aware of when it comes to nicotine use, including cardiovascular, gastrointestinal and oral health impacts.

“We know that it increases heart rate (and) blood pressure,” Dohadwala says. “In particular to oral nicotine pouches, what I worry about is periodontal disease. There are toxic chemicals in these pouches, which can lead to injury of the gums. Persistent, recurrent injury can end up leading to inflammation, infection but most importantly cancer.”

Kumar echoed the concerns of periodontal and gum disease.

“If you’re using these products, just Google nicotine pouches and dental disease — you’ll spit it out right away,” she said. 

There can also be gastrointestinal effects, she added, including nausea and vomiting. Some users have also reported experiencing hiccups and diarrhea.

It can also increase your risk of diabetes in the long run, she said, since nicotine interacts with your cells to make you glucose and insulin intolerant.

Nicotine, addiction and mental health impacts

The negative impacts of nicotine go beyond physical health and into mental health as well. 

While nicotine produces an immediate sense of relaxation, Kumar explained that the feeling is short-lived. 

“When it wears off, there’s a spike in edginess and anxiety, even stressful types of feelings,” she said. “So it creates this vicious cycle because then you have cravings that wants you to get that relaxation feeling again but in the end it ends up increasing your anxiety level and your stress level when you use these products.”

Another impact that’s top of mind? Addiction, Kumar said, adding young brains are particularly vulnerable to the condition. 

If you’re dealing with nicotine addiction, Dohadwala says seeking professional help, like seeing an addiction specialist or psychologist, is important.

“It’s important, too, for any person who ends up struggling with this addiction of consumption to understand that it is an addiction,” he says. “It is something that’s going to take time. This is not a sprint by any means, it is a marathon.”

He also warns young people to be aware of the potential consequences if they’re choosing to dabble in these pouches for fun.

“There are so many things out there that are trendy, and something that is artificial, that’s potentially toxic to your body, you would want to really be cautious,” he says. “There are untoward effects that are related to experimenting with these things, and at times those experimentations end up becoming habits and addictions.”

If you or a loved one is experiencing a problem with substance use, help is available via the Substance Abuse and Mental Health Services Administration Helpline at 1-800-662-HELP.





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Delia Ephron’s tale of love, cancer, and second chances, now on Broadway

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Writer Delia Ephron, famous for rom-coms like “You’ve Got Mail,” knows how to dream up a fairy-tale storyline. But Ephron’s Broadway debut later this month comes directly from the pages of her life.

Ephron has written about intimate things before, but now it is her own life that is on the stage for everyone to see.  She said it was not easy, “because I am basically introverted.”

But she sure makes it look easy. When “Sunday Morning” first interviewed Ephron two-and-a-half years ago, she’d just finished a best-selling memoir, “Left on Tenth.” Now she’s turned that book into a play, telling her remarkable story of beating the odds. She said, “It’s the story of a woman who loses her beloved husband of 38 years, and a man from her past drops into her life and she falls madly in love. And then shortly afterwards I got diagnosed with a terrible disease, a fatal leukemia. And I survived.”

left-on-tenth-julianna-margulies-peter-gallagher.jpg
Julianna Margulies and Peter Gallagher in “Left on Tenth,” a new Broadway play by Delia Ephron, based on her memoir of love and cancer. 

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That’s right: seven years ago, because of her blood cancer, Delia Ephron was given four months to live. She’d already lost her sister, Nora, and her husband, Jerry, to cancer. But she somehow found love again, and got married in the hospital while undergoing chemo (a wedding that Dr. LaPook, a friend of Ephron’s, recorded).


Writer Delia Ephron on love, cancer and second chances

06:51

Five-time Tony Award-winner Susan Stroman is directing the play. “It’s about second chances, and love, and life, and being brave enough to take those second chances, ’cause most people aren’t,” she said.

Stroman and Ephron share something in common they wish they didn’t. “I sadly lost my husband to AML, to leukemia,” Stroman said. “So, when I started to read the play, I knew everything about what was going on. I didn’t have to research anything, ’cause I had lived it, too.”

susan-stroman-delia-ephron-left-on-tenth.jpg
Director Susan Stroman and playwright Delia Ephron.

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She said it is “tricky” to direct the play’s turns from humor, to tragedy, and back again. But it’s a trick Stroman mastered – as “Sunday Morning” watched, tagging along every step of the way, from the first meet-and-greet, to an early rehearsal, to the stage of the James Earl Jones Theatre.

Emmy Award-winner Julianna Margulies plays Ephron. “They’re saying it’s a rom-com, and it is,” Margulies said. “It’s romantic, and it’s funny, and it’s wonderful, but bring tissues, in case you need them.”

LaPook asked stage legend Peter Gallagher (who plays Peter Rutter, Ephron’s newfound love), “The play is about two people falling in love who are not in their 20s or 30s; they’re older than that. What’s the significance of that?”

“Well, you know, you’re closer to death!” Gallagher replied. “Everything is precious. And I think that’s another thing that the audience is going to recognize and feel.”

Asked about the play’s life lessons for the audience, Ephron said, “We plan our lives out as a young person: ‘Oh, I wanna get married. I wanna have children. I wanna have a career.’ You know, you make all these things. But then you don’t think, ‘Oh, what’s gonna happen to me after I’m 50? What life do I want then?’ It’s a much more open book. And this is about seizing those years and really creating something.”

      
For more info:

      
Story produced by Amiel Weisfogel. Editor: Remington Korper. 



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Almanac: October 6 – CBS News

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Almanac: October 6 – CBS News


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“Sunday Morning” looks back at historical events on this date.

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Israel’s bombardment on Beirut escalates as it launches incursion in northern Gaza

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Israel expands bombing campaign across Lebanon


Israel expands bombing campaign across Lebanon

02:51

An Israeli airstrike hit a mosque in central Gaza and Palestinian officials said at least 19 people were killed early Sunday. Israeli planes also lit up the skyline across the southern suburbs of Beirut, striking what the military said were Hezbollah targets.

The strike in Gaza hit a mosque where displaced people were sheltering near the main hospital in the central town of Deir al-Balah. Another four people were killed in a strike on a school sheltering displaced people near the town.

The Israeli military said both strikes targeted militants, without providing evidence.

An Associated Press journalist counted the bodies at the Al-Aqsa Martyrs Hospital morgue. Hospital records showed that the dead from the strike on the mosque were all men, while another man was wounded.

In Beirut, the strikes reportedly targeted a building near a road leading to Lebanon’s only international airport and another formerly used by the Hezbollah-run broadcaster Al-Manar.

Lebanon Israel
Smoke rise from Israeli airstrikes in Dahiyeh, Beirut, Lebanon, early Sunday, Oct. 6, 2024.

Hussein Malla / AP


Israel and Hezbollah have traded fire across the Lebanon border almost daily since the day after Hamas’ cross-border attack on Oct. 7, 2023, which killed 1,200 Israelis and took 250 others hostage. Israel declared war on the Hamas militant group in the Gaza Strip in response. As the Israel-Hamas war reaches the one-year mark, nearly 42,000 Palestinians have been killed in the territory, and just over half the dead have been women and children, according to local health officials.

Nearly 2,000 people have been killed in Lebanon in the latest conflict, most of them since Sept. 23, according to the Lebanese Health Ministry.



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