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The only study evaluating existing SLT dependence scales, Oklahoma Scale for Smokeless Tobacco (OSSTD), Tobacco Dependence Screener (TDS) and Fagerstrm Test for Nicotine Dependence-Smokeless Tobacco (FTND-ST) in South-Asia (Bangladesh) found the OSSTD lacked construct validity due to differences in the tobacco products, usage behaviors and sociocultural factors in Bangladesh and highlighted the need to develop new SLT scales relevant for the South-Asian population 17

All combustible tobacco productspipes, cigars, cigarettesproduce toxic smoke containing carcinogens and other harmful chemicals

Theyre often marketed as a way for smokers to decrease nicotine usage and engage their oral fixation in a safe way

2 However, these lifestyle factors are not mutually exclusive

The samples were split into three tubes containing 4 mL of lithium heparin, 3 mL of serum, and 2 mL of trisodium citrate, respectively