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While smokeless tobacco has demonstrably less carcinogens and toxins than cigarette smoke, said Hecht, smokeless tobacco still has remarkably high levels of carcinogenic tobacco-specific nitrosamines levels that are 100 to 1,000 times higher than in any other consumer product that is designed for oral consumption. In a separate study, the team evaluated carcinogen biomarker levels in individuals using these products

When not speaking, Shari is a consultant, professor and licensed therapist who works with adolescents, adults, couples, and families

Cotinine: A metabolite of nicotine, used to measure nicotine levels in the body

Sperm concentration and semen volume increase after smoking cessation

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