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They were advertised as an alternative to chewing tobacco

Tobacco use is also associated with increased risk of hepatocellular carcinoma (liver cancer) , particularly in individuals with existing liver disease or viral hepatitis

Yes, some people quit smoking cold turkey without medication or NRT, but studies (like those from the National Library of Medicine) show that combining behavioral therapy with medications or NRT significantly increases success rates

[32] looked at NRT prescribing and major congenital malformations in primary care records of a cohort of UK births

There are many types of smokeless tobacco (SLT) products, and each country usually has its own types, which can be handmade or manufactured