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Chivers LL, Higgins ST, Heil SH, Proskin RW, Thomas CS
Users pinch or dip snuff between their lower lip and gum
A single fermentation is usually sufficient, but some manufacturers ferment tobacco multiple times for more intense flavors
According to a continuing education activity by Aslam et al., Nicotine Addiction and Smoking: Health Effects and Interventions last updated in August 2024, tobacco smoking is associated with higher risk across at least 17 human cancer classes