Is there anything that could make nicotine gum less likely to work?

How else can I support bone health?

Yes. Chewing the gum too quickly or too frequently can lead to increased saliva, which dilutes the nicotine and makes it more likely you will swallow it. The nicotine in the gum is absorbed best when the gum is resting on the skin of the cheek (called the buccal mucosa). Nicotine is absorbed poorly from the stomach compared to the cheek. 

Furthermore, when nicotine is swallowed, it can lead to hiccups, gas, and nausea. This is why it is recommended to try not to swallow for a minute or so when the gum starts to release the nicotine. 

Additionally, chewing the gum too quickly may cause a burning sensation and could also lead to lightheadedness.

Lastly, eating or drinking within 15 minutes of starting or finishing a piece of gum could lessen its effect.

This information is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your healthcare provider.