Cigarettes with ultralow nicotine levels are now being called the game-changer in the fight against smoking. If you are having trouble in quitting smoking, then, it is for you, that soon the Biden White House is expected to formally propose a plan that will order cigarette nicotine levels to be reduced, reports The Washington Post. For now though, it has been a failure, as these cigarettes, also known as VLN cigarettes that stands for very low nicotine are only available in 5,100 stores in 26 states. This is a very small fraction of the overall market for cigarettes. The company that makes it, 22nd Century, is struggling not because of the low supply, but also from the advocates who have long believed slashing nicotine levels altogether.

The Advent and ideation

Nicotine is a chemical that is produced naturally from tobacco that makes the cigarette and also keeps people hooked. While it is believed that it makes people alert, and get the "hit" to keep them going, it exposes the users to harmful substances, carcinogens, and increases the risk of heart disease, lung cancer, and other illness.

Ultralow-nicotine cigarettes, like the VLN brand, contain about 95% less nicotine than the regular cigarettes. The idea is quite simple: without the addictive grip of nicotine, smokers will find it easier to quit. Research too has shown some promise. For instance, the studies funded by the National Institute on Drug Abuse revealed that very low nicotine cigarettes reduced addiction potential significantly without having users to increase their smoking frequency. However, the problem is, why would anyone choose for a low-nicotine that does not make them feel the same way, when the high-nicotine cigarette is right next to it, making them feel the same way, with the same alertness, sold at the same price.

“It’s very hard to imagine someone actively choosing to continue to use a low-nicotine product for the same price when a high-nicotine product is right next to it,” said Eric Donny, a Wake Forest University School of Medicine nicotine researcher.

No wonder, the experiment with low nicotine product by Philip Morris' Next cigarettes in the 1980s and Vector Tobacco's Quest brand in the early 2000s, flopped.

FDA's Role in the Push

The Food and Drug Administration (FDA) has supported the development of such products, even allowing VLN cigarettes to be marketed as lower-risk options. However, these products remain a niche market, available in only a fraction of U.S. stores.

Recently, the Biden administration has considered a bold step—mandating a dramatic reduction in nicotine levels for all cigarettes sold in the United States. Supporters believe this move could save millions of lives, while critics, including tobacco companies, warn of potential unintended consequences.

What Could Be The Challenges?

Resistance from Big Tobacco Companies: They could argue that slashing nicotine levels could backfire. Their claim is, smokers will turn to black markets or smoke more to satisfy their cravings, which may lead to greater exposure to harmful substances.

Consumer Reluctance: History is proof to the instances of smokers being hesitant to embrace the low-nicotine products.

Political Hurdle: It may face political roadblocks, as under the Trump administration, plans to cut nicotine were shelved.

Could Low-Nicotine Cigarettes Be The Solution?

Advocates believe that ultralow-nicotine cigarettes could be a game-changer, comparing them to decaf coffee or non-alcoholic beer—products that reduce harm while offering a similar experience.

Some experts warn that a black market for traditional cigarettes could undermine these efforts. They also stress the need for safer alternatives, such as vaping products, to support smokers transitioning away from traditional cigarettes.

GLP-1 medications, widely prescribed for diabetes and weight loss, may also be associated with a lower risk of serious complications after surgery, a new study suggests.

The study, involving more than 2 million adults undergoing surgery, found that people taking GLP-1 medications had lower rates of major cardiovascular complications and postoperative infections than those not taking the drugs. Researchers from the University of Texas Health Houston presented the findings at the Anesthesiology 2026 annual meeting.

"GLP-1 medications have become part of everyday care for many people with diabetes or obesity, but physicians still need more evidence about how these drugs affect patients around the time of surgery," said lead author Josephine Tolan, an anesthesiologist at the Center for Outcomes Research, Department of Anesthesiology, Critical Care and Pain Medicine, McGovern Medical School at UTHealth Houston.

Tolan added that although the results are encouraging, more research is needed to determine if the medications themselves are driving these benefits and how best to manage them before and after surgery.

What Are The Key Findings

Also read: Exclusive: GLP-1 Drugs Are The ‘New Statins’, Says University Hospital Birmingham Professor

Researchers analyzed data from the Epic Cosmos database, a de-identified electronic health record database covering more than 1,700 hospitals and 40,000 clinics.

The study included US adults aged 18 and older who underwent elective surgeries lasting more than 60 minutes and stayed in the hospital for at least 24 hours after surgery between January 2016 and December 2024. Of the 2,028,601 patients included, 145,610, or about 7%, were taking GLP-1 medications.

After matching GLP-1 users with similar patients who were not taking the drugs, researchers found that GLP-1 use was associated with:

• 11% lower odds of major cardiovascular complications, including heart attack, heart injury, stroke or death.
• 8% lower odds of postoperative infections, including surgical site infections, urinary tract infections, pneumonia and sepsis.

How Might GLP-1 Drugs Affect Surgical Outcomes?

Read More: GLP-1 Drugs May Offer Mental Health Benefits, Reduce Schizophrenia Relapses: Lancet Study

Previous research has shown that GLP-1 medications can lower the risk of cardiovascular problems in some patients. However, their effects during and after surgery remain less clear.

Surgery places stress on the body, can trigger inflammation and may cause changes in blood pressure, blood sugar and circulation, potentially increasing the risk of cardiovascular complications and infections, the researchers explained.

Further, they suggest that GLP-1 medications may be associated with fewer cardiovascular complications because they support weight loss, improve blood pressure and blood sugar control, reduce inflammation and may protect heart muscle during periods of stress.

These medications may also help reduce infection risk by improving blood sugar control. High blood sugar can weaken the body's immune response, making it harder to fight infections.

GLP-1 Drugs And Cardiovascular Health

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Research has found that people taking GLP-1 medications to treat diabetes, overweight or obesity have fewer major cardiovascular events, like heart attack or stroke, compared to people not taking GLP-1 medications.

In fact, the American College of Cardiology now recommends GLP-1 drugs as a way to reduce cardiovascular disease risk through weight loss.

When weight decreases, so does blood pressure, inflammation, LDL (bad) cholesterol and triglycerides, and protective factors like good (HDL) cholesterol increase. In other words, overweight or obese individuals who are prescribed a GLP-1 for weight loss may experience positive changes to their heart health, especially if they are at risk of heart disease.

Smokeless tobacco accounted for 57.3% of mouth cancers among men in India, while tobacco in any form estimated to be at least 73.4% of mouth cancers among women, according to a new study published in the Indian Journal of Medical Research.

The study, Head and Neck Cancer Burden Attributable to Tobacco Use in India: National and Region-wise Estimates, sheds light on the differences in tobacco-related cancer risks by sex, cancer site and region. The findings also bring attention to the role of smokeless tobacco products and their contribution to head and neck cancer burden in India.

The researchers estimated that eliminating tobacco exposure could prevent a bulk proportion of these cancers.

Smokeless Tobacco Linked To Mouth And Lip Cancers

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Researchers studied records of 11,285 patients diagnosed with head and neck cancers and 7,154 people with non-cancerous conditions who visited the Regional Cancer Centre in Thiruvananthapuram, Kerala, India between 2019 and 2024.

Among men, smokeless tobacco accounted for 61.8% of lip cancers, 30.7% of tongue cancers and 57.3% of mouth cancers.

On the other hand, almost 40.2% of cancers of the base of the tongue, tonsils and oropharynx, 45.7% of hypopharyngeal cancers and 38.4% of laryngeal cancers were attributed to smoking.

The authors highlighted how smoking and smokeless tobacco expose oral tissues to carcinogens. The authors wrote, “This may be because smokeless tobacco directly contacts the oral cavity, causing prolonged exposure of the tongue to carcinogens, whereas smoking produces more diffuse and less concentrated exposure.”

The study also found that 55.3% of men with mouth cancer used smokeless tobacco, compared to 17.5% of men in the comparison group. Among men diagnosed with hypopharyngeal cancer, 85% smoked.

High Burden Of Tobacco-Related Mouth Cancer Among Women

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Among women, smokeless tobacco accounted for around 68.8% of lip cancers and 68% of mouth cancers. Smoking accounted for 41% of oropharyngeal cancers and 34% of hypopharyngeal cancers.

The researchers estimated that the odds of mouth cancer among women who used smokeless tobacco were 17.6 times those among non-users. Among men, the corresponding odds ratio was 5.5.

Tobacco Cancer Risks Across States

The study also shows differences in tobacco-related cancer risks between states. Among men, the estimated proportion of mouth cancers due to smokeless tobacco was 71% in Jharkhand and 70.3% in Odisha.

In southern India, the estimates were 50.2% in Karnataka, 35.1% in Tamil Nadu, 33.9% in Telangana, 25.6% in Andhra Pradesh and 25.1% in Kerala.

Among women, the estimated proportion of mouth cancers due to smokeless tobacco exceeded 80% in Chhattisgarh, Odisha and several Northeastern states. In Tripura, it was around 90.4%.

The authors said that these differences could be due to regional variations in tobacco consumption and the products used.

However, the study used cancer risk estimates derived from hospital-based data in Kerala and applied them nationally because state-specific risk estimates were unavailable.

The authors addressed this limitation, stating, “In this study, due to limited State-specific data, cancer risk from tobacco exposures was assumed uniform nationwide.”

The researchers stressed the need for prevention by improving access to tobacco cessation services, especially in regions with high estimated burdens of tobacco-related cancers.

“The findings emphasise the need to strengthen tobacco cessation services, especially for high-risk men in regions with elevated population attributable fractions,” the authors wrote.

Health authorities in Australia's New South Wales have warned against unapproved peptide products after emergency department presentations linked to their use surged.

NSW Health recorded 1,180 peptide-related hospital presentations between July 2025 and September 2026, with about a quarter involving young people aged 16 to 24.

Retatrutide Accounts For 71% ER Visits

Retatrutide accounted for 71% of peptide-related emergency hospital admissions. Products described generically as “peptides” or by other names accounted for another 38%, while 8% involved combinations of products, News.com.au reported.

Peptides have gained popularity through social media, where influencers promote them for weight loss, muscle growth, injury recovery and anti-aging. However, unapproved products may have uncertain composition, quality and safety.

Peptide-Related Emergency Visits Rise 4,240%

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Monthly hospital emergency visits rose from five in July 2025 to 217 in September 2026, an increase of 4,240%. New South Wales Health Minister Ryan Park warned that unapproved substances posed health risks and placed additional pressure on public hospitals.

“Even when a product looks professional or comes in convincing packaging, that does not guarantee it is safe for use,” Park said.

Young people aged 16 to 24 accounted for about a quarter of presentations. Those aged 25 to 34 made up 32%, while 26% were aged 35 to 44. Men accounted for 51% of cases.

Health Risks Of Using Unapproved Peptides

Patients presenting to emergency departments after adverse reactions reported symptoms including

• abdominal pain,
• nausea,
• vomiting,
• chest pain,
• anaphylaxis
• allergic reactions.

Australia's Therapeutic Goods Administration (TGA) approves some peptide-based products, but many promoted online are not approved and may be unlawful to import, supply or advertise. These include BPC-157, GHK-Cu, TB-500, retatrutide and CJC-1295.

NSW Health Chief Health Officer Dr. Kerry Chant cautioned that products sold under the same label could vary in composition and strength.

“A professional looking website, a label, purity claim, reviews, or influencer endorsement is not proof of what is inside the product,” Chant said.

She urged people to consult their general practitioner about potential risks and safer, evidence-based alternatives.

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What Is Retatrutide, And What Are The Risks?

Retatrutide is an investigational obesity drug developed by Eli Lilly. It targets three hormone receptors involved in appetite, blood sugar and energy balance: GIP, GLP-1 and glucagon.

In a Phase 2 trial published in the New England Journal of Medicine, participants receiving the highest dose lost an average of 24.2% of their body weight over 48 weeks. A Phase 3 trial published in The Lancet reported nearly 21% average weight loss among participants with type 2 diabetes and obesity.

Despite these results, retatrutide remains investigational and is not yet FDA-approved.

There have been several unbranded, generic copies of the Retatrutide chemical sequence manufactured by unregulated chemical labs and sold online. It may not have verified composition, quality or strength.

The drug has been dubbed the “Godzilla” of weight-loss jabs. A recent report by the Daily Mail showed 129 symptoms associated with its use, including skin-burning sensations, panic attacks, a racing heartbeat and depression.

Professor Naveed Sattar, professor of cardiometabolic medicine at the University of Glasgow, warned against purchasing unlicensed weight-loss products online. “I would urge people to avoid buying unlicensed weight-loss products online,” he said, according to Daily Mail. “There is no certainty about what these products contain, and without proper regulatory oversight there is a risk of adverse effects.”