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A pack may look similar but still have problems if: The warning label does not match the local market The tax stamp is missing or suspicious The printing looks blurred The pack seal looks damaged The product source is unclear The seller cannot provide proper product information The package design does not match legal retail standards in that country For regulated tobacco products, legal compliance matters

Participants had to abstain from smoking for at least eight hours (verified by carbon monoxide breath test)

Chewing tobacco also contains a mix of harmful chemicals, including nitrosamines and even trace amounts of carbon monoxide