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Long-term use has been linked to increased risks of pancreatic cancer and oral cancers, which is why it was banned in the UK and Europe in the first place - people would be swapping one dangerous tobacco product for another.(6),(7) But like most tobacco-restricted products, there are alternatives

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Frictional keratosis, contact keratosis and smokeless tobacco keratosis: features of reactive white lesions of the oral mucosa

The duty-free purchases limit on cigarettes in Canada is 200 per person, or about one carton