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95% CI, 1.65-2.01) smokers, despite the large difference in cigarette use between the groups

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[27] Gutka can cause adverse reproductive effects including stillbirth, premature birth, low birth weight

People around the smoker or vaper are also exposed to these chemicals

[22] Sale, tax and legal issues [edit] Snuff is readily available over the counter in most European tobacco shops

Long-term use can alter brain chemistry and reward pathways