At a checkout, a small pouch can look no more serious than a piece of gum. Its size, however, tells you little about its health effects.
If you are asking are ultra pouches bad for you, begin with the ingredient panel rather than the word Ultra on the package.
Oral pouches may contain nicotine, caffeine, flavorings, sweeteners, or plant-based compounds, and those substances carry different risks. The amount per pouch, the number used each day, and your own medical history matter more than the product name or the absence of smoke.