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Although European studies do not support the association of CHD with SLT, there have been reports of higher mortality rate due to CHD in individuals switching from cigarettes to spit tobacco [hazard ratio (HR) 1.13, 95% CI 1.00-1.29] in multivariate model adjusted for the duration and number of cigarettes smoked per day before switching apart from other confounding factors53

We were able to work incredibly quickly

doi:10.1371/journal.pmed.0030437

The aroma of stale tobacco always takes me back, that distinctive, slightly acrid smell clinging to everything like a phantom

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