The initial signs are a toughening and whitening of the skin

In 20 minutes after stopping: Blood pressure and heart rate fall In 12 hours: Levels of carbon monoxide become normal In 2 weeks to 3 months: Improvements in blood circulation and increased lung efficiency In 1 to 9 months: Improvement in coughing and breathing In 5 years : 50% reduction in risk of oral cancer than those who keep smoking After 10 to 15 years: Risk level similar to non-users Practical Steps to Quit Smoking: Establish a quitting date: Select a definite date within two weeks' time Inform family members and friends: Get their encouragement and support Get rid of triggers: Dispose of all tobacco-related items, including lighters and ashtrays Detect craving patterns: Maintain a diary that records your reasons for smoking Replace tobacco with other activities: Chewing gum, carrying a stress ball, or engaging in some other activity Get professional assistance: Using nicotine-replacement therapy (patches, gum, lozenges), bupropion, and varenicline doubles your chances of success Join a support group: Face-to-face or virtual Also read: How Do You Stop Bleeding Gums

Left untreated, these lesions can progress to oral cancer, affecting vital structures such as the oral cavity, pharynx, larynx, and esophagus
In September 2025, the FDA launched a pilot program aimed to streamline the premarket review process for nicotine pouch products, and in December 2025, the agency granted marketing authorization to 6 on