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5 (after survey database duplication removal) versus 6 studies
Smokeless tobacco categories including moist snuff, dry snuff, chewing tobacco, snus, and tobacco-containing nicotine pouches are recording strong growth globally, driven by regulatory environments that favor reduced-risk positioning and consumer preferences for smoke-free consumption occasions
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While smokeless (chewing) tobacco is associated with lower risk of disease than cigarettes, its use is not risk free
Each stage brings distinct structural and functional changes that affect breathing, immunity, and overall respiratory health
