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Older adults, meanwhile, tend to phase out smokeless tobacco as health concerns and life priorities shift.Interestingly, smokeless tobacco users also show a fascinating overlap with dual-use patterns
Following exclusions of females ( n = 15,151), individuals under 18 years of age ( n = 6,051), those with missing serum cotinine data ( n = 821), and those with missing total testosterone data ( n = 82), the final sample size for this study consisted of 7,797 participants (Fig
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