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The dependent variable of smokeless tobacco use was recoded as exclusive snuff use, exclusive chewing tobacco, use of both snuff and chewing tobacco, and non-tobacco use (reference group)

Besides lung cancer, tobacco addiction can increase the risk of other forms of cancers including those affecting bladder, blood, cervix, stomach, pancreas, liver, kidneys, larynx, esophagus, colon, just to name a few

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In addition, Star of the East also comes in flake form, offering an enhanced range of availability and an entry point for fans of flake-cut tobacco