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(2015) Health risks of smokeless tobacco

We extracted 93 observations from 14 prospective cohort studies and 9 casecontrol studies across 14 locations (Supplementary Table 3) 84,87,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165

This cooking process in the Black Twist removes some of the stronger tar and nicotine elements, which produces a less intense smoke than the brown twist but still has a strong intense flavour and wouldn't be recommended for the beginner

There are trace components of tobacco-specific nitrosamines and things that are harmful, but it's still much, much lower than chewing tobacco, for example

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