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One way of directly supporting SLT users in their attempts to quit, as suggested by Siddiqi K et al., is by adapting behaviour change interventions (BCI) to the socio-cultural context of the SLT user

I don't normally smoke tobaccos that smell like this, also I detected some nicotine which led me to believe it would be alright

Smoking is one of the biggest causes of bronchitis and COPD

A possible role of smokeless tobacco consumption in transition of healthy oral microbiome to inflammation-associated oral microbiome was apparent with a deterministic shift of oral microbiome composition in healthy to OSCC samples with intermediate overlap between tobacco consuming healthy and contralateral buccal site of OSCC samples

Vaca A, Sivina M, Clise-Dwyer K, Kim E, Keating MJ, Ferrajoli A, Wierda WG, Li D, Ma Q, Burger JA