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If symptoms persist or you have a history of mental health issues, consider speaking with a healthcare provider or an addiction specialist to tailor a safer detox plan

Using smokeless tobacco is a major cause of mouth and throat cancer, and it can also lead to serious dental health problems such as receding gums, tooth loss, and discoloration of teeth and gums [5]

3 Even though these products are often marketed as tobacco-free or tobacco leaf free, they still contain nicotine

Verbal consent was audio-recorded and witnessed for two staff participants who declined written consent due to cultural norms

Table 4 All regressions include individual controls described in Table 1, as well as a set of fixed effects