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Smokeless tobacco refers to tobacco products that are not smoked but are either chewed or placed between the cheek and gum. This category includes products like snuff, chewing tobacco, and snus. Historically, chewing tobacco was prevalent in the United States, seen as a convenient alternative to pipe smoking.123

While not smoked, smokeless tobacco is still toxic and addictive, primarily due to its nicotine content. The use of smokeless tobacco is a significant health concern in some regions. It is associated with various health problems, including an increased risk of certain cancers, particularly head and neck cancers, as well as heart disease.4563

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