Recent studies and observations from doctors have begun to shed light on the adverse effects of nicotine pouches, which many consider harmless stimulants. The phenomenon described as 'elephant skin' is particularly evident amongst female users, indicating a concerning trend. Physicians are able to identify users based on physical symptoms even if patients do not disclose their nicotine pouch use, suggesting that the impacts are both visible and significant.

The accumulating evidence points to various detrimental effects on the brain, heart, skin, and immune system linked to prolonged use of nicotine pouches. While they may be marketed as a less harmful alternative to smoking, extensive use can lead to irreversible damage, prompting healthcare professionals to raise alarms about their widespread use. This issue represents a growing public health concern, especially as these products gain popularity among younger demographics.

In response to the rising health risks associated with nicotine pouches, doctors are recommending a six-step program for those who wish to quit before the damage becomes permanent. The information gleaned from patient experiences and clinical observations underscores an urgent need for awareness and intervention as more individuals integrate these products into their lives, often without understanding the potential long-term consequences of their use.