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Informed Consent & Acknowledgment

Important — please read before submitting:

Peelz Nicotine Strips are an OTC Nicotine Replacement Therapy (NRT) product. Peelz Nicotine Strips are not FDA-approved. A patent application (#6396831) covers the Peelz therapeutic program model. Because this product format has not been through the full FDA approval process, its complete safety and efficacy profile has not been independently verified by the FDA.

Stop using and contact your healthcare provider if you experience: racing heart, nervousness or shakiness, nausea/vomiting, headache, trouble breathing, or drooling. These may be signs of too much nicotine. In an emergency, call 911. For nicotine poisoning, call Poison Control: 1-800-222-1222.

Do not use if: you are under 21, pregnant or breastfeeding, have had a recent heart attack, have serious chest pain or irregular heartbeat, or have difficulty swallowing.

FDA-approved cessation alternatives are available, including nicotine patches, gum, lozenges, and prescription medications. Results may vary. There is no guarantee of cessation. Consult your healthcare provider before starting any NRT program.

By checking the boxes below, you confirm you have read and understood this information. View the full Informed Consent Form →

I understand that Peelz Nicotine Strips are not FDA-approved and that unknown risks may exist. I have read the informed consent summary above. I confirm I am 21 years of age or older, not pregnant or breastfeeding, and I am voluntarily choosing to use this product. I understand that FDA-approved cessation alternatives (patches, gum, lozenges, prescription medications) are available, and I am choosing to use Peelz voluntarily.