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When used in conjunction with behavioral treatments, the results can be even more effective and long-lasting

Unlike most loose-leaf tobaccos, twist chewing tobacco is usually not sweetened

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Adds Dr Sujeet K Rajan, consultant respiratory physician, I would think if its nicotine its not really harmful as the ingredient is used as a treatment for cessation of tobacco addiction

Here are some great places to check out if you want to learn more about LGBTQ2IA+ tobacco prevention: Looking to get involved