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Over time, your body and brain get used to having nicotine in them

Chronic use of ST has direct health implications on the mother, as reported by Subramoney and Gupta (2008) from their population-based cohort study of 918 pregnant women in Mumbai, India, and found that ST use resulted in significantly reduced mean hemoglobin (Hb) levels (10.00 g/dl) compared with nonusers (10.46 g/dl, p 1000 ml) was found in pituri chewers compared with 22% of smokers and 36% of the non-users (Ratsch et al., 2021)

Smoking is still the leading cause of preventable death and disease

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10.1186/s12931-017-0522-0 [DOI] [PMC free article] [PubMed] [Google Scholar] 31