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According to public health organizations: Smokeless tobacco can lead to nicotine dependence It is associated with oral health issues , including gum disease Certain forms have been linked to an increased risk of oral and pancreatic cancers That said, some studies suggest that smokeless tobacco may expose users to fewer harmful combustion-related toxins compared to smoking

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On the other hand, to the extent that the tax reduces the number of smokers who switch from cigarettes to ecigarettes, it could increase cigarette smoking