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Damage caused by dipping and chewing may be permanent Whenever patients ask me about how damaging smokeless tobacco is, I tell them all the same thing: it really depends

Limit Alcohol Consumption: If you drink alcohol, do so in moderation

How chewing tobacco accelerates cancer Chewing tobacco contains multiple carcinogens, including tobacco-specific nitrosamines (TSNAs), which are among the most potent cancer-causing substances found in tobacco, according to cancer.gov

Like cigarettes, smokeless tobacco is a risk factor for several types of cancer, including bladder cancer

their use for smokeless tobacco cessation is off-label and should be discussed with a GP, particularly in patients with existing liver disease