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The use of smokeless tobacco is prohibited in high-school, college, and minor-league baseball

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Current smokers had nearly double the risk compared to never smokers, with consistent findings across ethnic groups and both sexes

State Products that contain tobacco, including, but not limited to, cigarettes, cigars, hookah, pipe tobacco, chewing tobacco, snuff or snus, or smokeless tobacco and are intended for human consumption or use, as well as Tobacco Substitutes (such as e-cigarettes), including for example any device employing a mechanical heating element, battery, or circuit, regardless of shape or size, that can be used to deliver nicotine into the body through inhalation, or any noncombustible product containing nicotine intended for use in such a device

Research suggests exposure to nicotine from any source may harm the digestive system and increase the frequency and severity of GERD symptoms