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Can it cause cancer

In addition to an increased risk of cancer, chewing tobacco is associated with the following health risks: gum disease heart disease oral lesions, such as white patches in the mouth (leukoplakia) A However, the American Lung Association notes that chewing tobacco is associated with numerous health risks, so we shouldnt view it as a healthier alternative to cigarettes

Chronic smoking is strongly associated with increased morbidity and a marked reduction in life expectancy, with an estimated loss of up to a decade of life in developing countries [2, 3]

Replace the spit ritual with water, gum, or a crunchy snack to reduce behavioral triggers

Additionally, these products can elevate the risk of heart disease and stroke, cause pregnancy complications like early delivery and stillbirth, and pose a serious risk of nicotine poisoning in children.

Igor Kovalchuk for his critical reading of the manuscript