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This distinction has public health implications: while substantial smoking reduction after adopting ENDS is shown to reduce exposure to harmful and potentially harmful constituents (Cohen et al., 2021

Responsible Usage and Safety While chew bags offer a less harmful alternative to traditional chewing tobacco, it is essential to use them responsibly: a) Nicotine Dependency: Chew bags, like other nicotine products, contain an addictive substance

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The present study is based on all cases collected in ESTRID 20102019 with information on tobacco use (LADA n =593), type 2 diabetes ( n =2038) and all controls aged 35 years included in EIRA 20062014 ( n =3036)