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Double dippers, who mix snuff and chewing tobacco, are more likely to develop precancerous lesions than those who use only one type of spit tobacco

Linda Siegle, government relations director for the American Cancer Society Cancer Action Network, said increasing taxes on tobacco products would go a long way in addressing the problem

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This reliance on self-reported data may introduce information bias, specifically misclassification bias, due to inaccuracies in recall of diagnoses

Avoid frequent or intensive use and dont use too often