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Chewing tobacco, also referred to as oral tobacco or spit tobacco, is a smoke-free alternative that usually comes in the form of loose leaves, plugs or twists of coarsely chopped, dried tobacco which may also be flavored

THE DOPAMINE EFFECT Smokers may crave cigarettes after meals to secrete dopamine and feel satisfied

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Without behavioural or emotional guidance, many struggle to get past the triggers and stressors that often lead back to smoking

Hazard ratios (HRs) for hospitalisation with or mortality from CVD among current and past versus never smokers were estimated, including according to intensity and recency of smoking, using Cox regression, adjusting for age, sex, urban/rural residence, alcohol consumption, income and education