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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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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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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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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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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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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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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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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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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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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