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A systematic review of high-income countries confirms that younger age is consistently associated with higher price elasticity, though estimates vary across studies depending on data sources and methodology

Major Cities and Availability Urban areas offer the best physical retail access for nicotine pouches: Rome: 50+ tobacco shops carrying nicotine pouches, concentrated in city center and tourist areas Milan: Extensive availability in business districts and shopping areas Naples: Growing number of retailers, particularly near university and commercial zones Turin: Well-established distribution through traditional tobacco retailers Florence: Tourist-focused shops often stock international brands Shopping Tips for Physical Stores When visiting physical retailers in Italy, consider these practical approaches: Call ahead to confirm product availability and brands in stock Visit during peak hours (10 AM - 6 PM) for best selection Ask specifically for "nicotine pouches" or "bustine di nicotina" in Italian Bring identification to verify age (18+ requirement) Compare prices between multiple locations if possible Pro Tip: Physical stores often charge 20-30% more than online retailers, but they offer immediate availability and the opportunity to examine products before purchase

They circulated because they were more convenient than coins but always could be exchanged for them