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DOI: Kramarow EA, Elgaddal N

In several geographic regions, including Asia, the Middle East, and Africa, the widespread use of regional smokeless tobacco products represents a major public health concern and contributes substantially to the burden of oral cancer (11)

Nitrosamines are the most harmful, and their amount varies from product to product

The most effective modern alternatives include tobacco-free nicotine pouches (brands like VELO, ICEBERG, and KILLA), nicotine gum, nicotine lozenges, herbal snuff, energy/caffeine pouches, and CBD pouches

Therefore, cigar smoke is simply savored in the mouth, and exhaled