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This regional variation in risk estimates can partly be explained by the chemical composition of SLT products, especially levels of TSNAs, and their usage practices

These levels can also radically decrease due to surgery, infection, medications or radiation

In addition, the report found detrimental health effects in multiple areas: developmental (low birth weight infants, SIDS), respiratory (asthma, pneumonia, ear infections), cancer (lung/sinus as well as breast cancer), and cardiovascular (coronary heart disease, included increased risk of death)

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