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People who use smokeless tobacco products have a strongly increased risk of oral cancer, such as mouth and throat cancers, particularly for the tissues that come in contact with the tobacco

Statistics suggest that dual-use reflects a small but steady group who alternate between smoking and dipping

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And so that's where the public health dilemma is: How do we make them accessible to cigarette smokers or oral tobacco userspeople who dip or chewso they can use a less harmful product, while not also inadvertently making a bunch of new people addicted to nicotine who otherwise would have never tried products like that