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Despite age restrictions on its use, teens are still at risk for the negative effects of smokeless tobacco use, particularly white, rural, teen boys who often see their male role models using dip. Although all tobacco products are potentially harmful and people who do not use them should not start, FDA granted modified risk granted orders for some snus smokeless tobacco products

The additive nicotine is absorbed into the bloodstream through the tissues of the mouth due to all the sucking and chewing

& Anderson, G

Dipping tobacco (including pouched products) undergoes fermentation, whereas tobacco in snus is pasteurized