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You can buy four packets of chewing tobacco for under a rupee from any cabin on the street and most people think that these products provide a harmless high, says Professor Javaid Khan from Aga Khan University who is leading the Pakistan component of a regional study, ASTRA, into smokeless tobacco

While pipe smokers may face different cancer site risks than cigarette smokers, research shows mortality rates from smoking-related diseases are nearly identical between the two groups

Int J Cancer

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These factors can lead to tooth loss, which progresses to jawbone loss