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According to Stephen Hecht, a tobacco expert at the University of Minnesota, the carcinogenic potential of chewing tobacco and snuff are likely due to the tobacco-specific nitrosamines in tobacco products

and Nazik Elgaddal, M.S., July 2023, National Center for Health Statistics, "Current Electronic Cigarette Use Among Adults Aged 18 and Over: United States, 2021", Products - Data Briefs - Number 475 - July 2023 (cdc.gov), Michael Joseph Blaha, M.D., M.P.H., Johns Hopkins Medicine, "Will Vaping Lead Teens to Smoking Cigarettes?"

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Pregnancy and Cannabis Use Although more scientific research is needed to better understand how cannabis affects pregnancy, the medical community strongly recommends anyone pregnant, planning to become pregnant, or who is breastfeeding not use any cannabis products

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