Its the nicotine causing these problems in the first place
A large Internet-based survey of 574 regular e-cigarette users with diabetes [133] found that 41.9% of the respondents reported improvement in diabetes control after switching away conventional cigarettes to e-cigarettes, whereas worsening was reported in only 0.6%
In India ST is often combined with betel leaf ( Piper betle ), sliced areca nut ( Areca catechu ) and/or powdered agricultural lime [32], additives that enhance the toxicity as well as the psychotropic effect of tobacco [33,34]
Kozlowski LT, OConnor RJ, Quinio Edwards B, Flaherty BP
While this may seem safer than the over 4,000 harmful chemicals that are found in burning tobacco, smokeless tobacco has its own risks