Smokeless

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If you vape you're 4x more likely to start smoking cigarettes

Source: Berry KM, Fetterman JL, Benjamin EJ, et al. Association of Electronic Cigarette Use With Subsequent Initiation of Tobacco Cigarettes in US Youths. JAMA Netw Open. 2019;2(2):e187794. doi:10.1001/jamanetworkopen.2018.7794
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Adolescents who use smokeless tobacco are more likely to become cigarette smokers.

Source: "Preventing Tobacco Use Among Young People: A Report of the Surgeon General." U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevetion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 17. Web.
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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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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 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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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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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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Long-term smokeless tobacco users may be up to fifty times more likely to have cancers of the cheek and gum than non-users.

Source: "Cancer Facts & Figures 2015." American Cancer Society. Atlanta, GA. 2015: 48. Web.
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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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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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An average of 4.5mg of nicotine is absorbed from 7.9g of chewing tobacco and an average of 3.6mg of nicotine is absorbed from 2.5g moist snuff.

Source: Severson, H.H. "What Have We Learned From 20 Years of Research on Smokeless Tobacco Cessation?" American Journal of Medical Sciences. 326(4). Oct. 2003: 206-211. Web.
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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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