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These results conflict with some prior studies that suggested that smokeless tobacco including moist snuff may be a less harmful habit than cigarette smoking because many of the carcinogens in cigarette smoke are either reduced or absent in smokeless tobacco

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Papke is working with a Singapore-based company to get grants and in-kind support to bring the gum, known as Quid X, to the estimated 22 million betel quid users in Myanmar and hundreds of millions of others in India and southeast Asia