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[7] [8] Addiction potential Smokeless tobacco contains nicotine, which is the primary reinforcing agent

Ethics declarations Ethics Approval and Consent to Participate All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5)

Eur J Cancer 49(5): 1152-1158, 2013

Symptoms include nausea, vomiting, dizziness, excessive sweating, and in extreme cases, seizures

Many myths surround chewing tobacco, and some of them are that its less addictive or harmful than smoking