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It is a health risk for our players one wed like to avoid. Smokeless tobacco contains nicotine and cancer-causing chemicals and may increase the risk of death from heart disease and stroke, according to the CDC

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The current prevalence of current tobacco use among males and females is higher than those reported in similar studies in Ghana 26 , Gambia 27 , and Sudan 28 , but lower than those in Madagascar 23 and the Republic of Congo 29

The physician had quit smoking himself

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The use of these pouches is only second to e-cigarettes, but e-cigarette use was declining while nicotine pouch use was "low and stable." Notably, the pouches are not approved by the FDA as nicotine replacement products helping people to quit smoking, such as Nicorette gum