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These conditions may be symptoms of a heart attack or other serious health problems, which can be life-threatening if not recognized and treated promptly

Available from: doi: 10.1596/978-1-4648-0349-9_ch10 have estimated that tobacco use kills approximately 5 million people annually worldwide, accounting for over 20% of all deaths of adult men and 5% of deaths of adult women

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19,20 More than 30 carcinogens exist in smokeless tobacco, including volatile and tobacco-specific nitrosamines, nitrosamino acids, polycyclic aromatic hydrocarbons, aldehydes, metals and polonium-210