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In a nation already battling a crisis of heart disease and diabetes, tobacco use is like pouring fuel on a fire

In 24 rural Colorado counties, more than 20 percent of adult men reported using smokeless tobacco in a 2001 state survey

[11] :81 [162] Relapse (resuming smoking after quitting) has been related to psychological issues such as low self-efficacy, [163] [164] or non-optimal coping responses

Of course, you should still be wary of consuming chewing tobacco regularly since it can yield health effects that can affect your daily life

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