smokeless tobacco use can not lead to cancer. and Cancer | Cancer Tobacco Use and Oral Health:

With that said, when it comes to chewing tobacco vs smoking cigarettes, chewing tobacco does contain more nicotine than cigarettes

The rest is consumed in the form of illegal cigarettes, beedis, smokeless tobacco such as khaini (raw tobacco) and gutkha (a combination of areca nut, slaked lime and paraffin wax, sweet or savoury flavourings and tobacco), according to the Tobacco Institute of India

Moreover, it is imperative that all tobacco users, particularly those living in low-to-middle income countries, have access to comprehensive cessation support aligned with WHO recommendations

Tobacco: production, chemistry, and technology

Lavanya's Clinic, Bengaluru More articles from Smoking Cessation Frequently Asked Questions 1

Unlike many modern pipes, tobacco pipes typically do not include screens in the bowl