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Neither product is without risk: nicotine dependence and oral health effects remain a concern with both

Smokeless tobacco was found to drastically alter the histology (the microscopic structure of tissues) of the distal esophagus

British Medical Journal, 2004

Carcinogenicity and DNA adduct formation of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone and enantiomers of its metabolite 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol in F-344 rats

Furthermore, a strong dose response effect has been demonstrated in several studies for both quantity and duration of SLT-product use in AMEA, which should form part of the measurement of exposure

It can then be removed from the bulk barn and baled for transport and further processing