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Carcinogenicity and DNA adduct formation of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone and enantiomers of its metabolite 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol in F-344 rats

Although smokeless tobacco is not categorized as smoking or vaping, it is important to use it responsibly and with consideration for other passengers

There is no formal contraindication, but the combination may affect appetite control, blood glucose regulation, and gastrointestinal symptoms

Acknowledgments We acknowledge and thank Berumen Y Asociados who collected the data as well as Maria Guadalupe Flores Escartn who supported training and data collection

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