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Nearly 30 different nitrosamines, cancer-causing chemicals, are found in the ingredients of chewing tobacco Smokeless tobacco is frequently the cause of mouth, lip, tongue, and pancreatic cancer, and is known to cause Leukoplakia, a pre-cancerous cell growth

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These methods aren't as well-known or as well-studied as traditional options but have been helpful for some people

Some patients may also experience related motility disorders such as achalasia, which requires specialized evaluation

One notable point was that the focus of tobacco control for females changed from SHS in 1990 to smoking and SHS in 2017