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The Doctor is perhaps not the best person to dispel chewing-tobacco stereotypes

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There is an international consensus on what measures work best to prevent and control tobacco use

These can cause heart disease, an assortment of cancers (particularly lung cancer), strokes, diabetes, chronic obstructive pulmonary disease, and infertility

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Altria also is contending with claims that the product causes mouth, tongue and throat cancers among all ages of users