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Systemic Health Issues The toxic chemicals that chewing tobacco releases do not only stay in the mouth, but also enter the bloodstream and cause the following issues within the body: Impaired protection: Lower immune defence against infections

For women, it was higher - 57% for heart disease and 31% for stroke

It comes in a variety of flavors and sizes and is good for both the casual nicotine user and smokers hoping to cut back

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DOI: 10.1002/14651858.CD000146.pub4

While it may not harm testosterone levels as directly as smoking, the long-term effects on hormone health are not entirely benign