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National Institutes of Health has called smokeless tobacco one of the fastest growing detrimental health habits in North America as sports figures promote the product in an attempt to erase the old, unsanitary image of the habit and replace it with a macho image. Athletes, military personnel and people who find it difficult to smoke in their businesses tend to switch to smokeless tobacco, said Pamela Clark, a research professor at the department of behavioral and community health at the University of Maryland College Park

This dual nature of addiction makes quitting challenging, as individuals must address both the physical symptoms of withdrawal and the psychological habits that reinforce tobacco use

Yes, it raises risks of low birth weight and preterm birth

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Diane Mapes is a staff writer at Fred Hutchinson Cancer Research Center