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In fact, chewing tobacco can be even more addictive than cigarettes

Given the potential confounding effect of smoked tobacco among dual users that may not be fully captured in our adjustment bias covariates, we also examined the impact of chewing tobacco derived only using observations from non-smoking study samples

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Promising evidence from a significant primary intervention trial conducted in India suggests that the chances of oral precancerous lesions progressing into malignancy can be reduced by encouraging individuals to decrease their tobacco and betel consumption