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See your doctor right away if you have any of the following: A sore that bleeds easily and does not heal A lump or thickening in your mouth or neck Soreness or swelling that does not go away A red or white patch that does not go away Trouble chewing, swallowing, or moving your tongue or jaw If you use smokeless tobacco, your doctor and dentist should carefully examine your mouth at each checkup

A core fact is that chewing tobacco delivers a much larger total mass of nicotine per session than a standard cigarette

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