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Civil penalties for breaking the law range from $400-$600 for a first-time violation to $6,000 for multiple infractions plus the loss of a license to sell tobacco

[16] Like many other types of retailer, pharmacies also have been found to illegally sell to underage youth

If your symptoms continue to get worse, you may need to see a doctor, but its likely not a medical emergency, she says

Prolonged use of pouches can irritate the mouth and gums and cause precancerous lesions (though theres not a demonstrated link between pouch use and oral cancer)

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Both smoking and chewing tobacco significantly increase the risk