Smokeless

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Because nicotine from smokeless tobacco is absorbed through the mouth, it takes longer to produce an effect than if it were absorbed through the lungs. But using cigarettes and smokeless tobacco really do result in the same amount of nicotine intake.

Source: "Youth and Tobacco: Preventing Tobacco Use among Young People. A Report of the Surgeon General." Department of Health and Human Services. Washington, DC. 33. Web.
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Using smokeless tobacco is also associated with gum recession, dental caries, and dental staining and abrasion.

Source: "Youth and Tobacco: Preventing Tobacco Use among Young People. A Report of the Surgeon General." Department of Health and Human Services. Washington, DC. 33. Web.
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The five major smokeless manufacturers spent a total of $718.3 million on advertising and promotion in 2017, a decrease from the $759.3 million spent in 2016.

Source: Federal Trade Commission. Smokeless Tobacco Report for 2017. Retrieved from https://www.ftc.gov/reports/federal-trade-commission-cigarette-report-2017-federal-trade-commission-smokeless-tobacco. Published February, 2019.
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In 2017, smokeless tobacco companies reported spending $438.5 million on price discounts in order to reduce the price of smokeless tobacco to consumers.

Source: Federal Trade Commission. Smokeless Tobacco Report for 2017. Retrieved from https://www.ftc.gov/reports/federal-trade-commission-cigarette-report-2017-federal-trade-commission-smokeless-tobacco. Published February, 2019.
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Smokeless tobacco use causes oral cancer, lesions, and gum recession.

Source: Nelson, D.E., et al. "Trends in Smokeless Tobacco Use Among Adults and Adolescents in the United States." American Journal of Public Health. 96(5). May 2006: 897–905.
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Revenues from smokeless tobacco sales totaled $4.20 billion in 2017.

Source: Federal Trade Commission. Smokeless Tobacco Report for 2017. Retrieved from https://www.ftc.gov/reports/federal-trade-commission-cigarette-report-2017-federal-trade-commission-smokeless-tobacco. Published February, 2019.
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Advertising and promotional expenditures for both cigarettes and smokeless tobacco in 2017: $9.4 billion.

Source: Federal Trade Commission. Smokeless Tobacco Report for 2017. Retrieved from https://www.ftc.gov/reports/federal-trade-commission-cigarette-report-2017-federal-trade-commission-smokeless-tobacco. Published February, 2019.
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Smokeless tobacco is addictive.

Source: "The Health Consequences of Using Smokeless Tobacco: A Report of the Advisory Committee to the Surgeon General." U.S. Department of Health and Human Services, Public Health Service, NIH Pub. Bethesda, MD. Apr. 1986. Report.
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Smokeless tobacco increases the risk of oral cancer.

Source: "Summaries and Evaluations Tobacco Products, Smokeless (Group 1)." International Agency for Research on Cancer. 10 Feb. 1998. Web.
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111.9 million pounds of moist snuff were sold in 2017—more than the combined sales of all other types of smokeless tobacco. Moist snuff continued to receive the most advertising and promotional support from smokeless tobacco companies.

Source: Federal Trade Commission. Smokeless Tobacco Report for 2017. Retrieved from https://www.ftc.gov/reports/federal-trade-commission-cigarette-report-2017-federal-trade-commission-smokeless-tobacco. Published February, 2019.
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Vaping nicotine can damage your blood vessels

Source: Olfert IM, DeVallance E, Hoskinson H, et al. Chronic exposure to electronic cigarettes results in impaired cardiovascular function in mice. Journal of Applied Physiology. 2018;124(3):573-582.
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In 2017, the vast majority of high school students who used smokeless tobacco were male (8.9% in high school boys vs 1.9% in high school girls).

Source: Centers for Disease Control and Prevention (CDC). Youth Risk Behavior Surveillance — United States, 2017. MMWR Morb Mortal Wkly Rep. 15 Jun 2018;67(8).
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