There is no safe level of smokeless tobacco use. It is estimated the safety risk of smokeless tobacco is similar to that of electronic cigarettes. Smokeless tobacco is much lower on the risk continuum than combusted products but varies in risk within that class of products (e.g., low nitrosamine Swedish-type snus versus other smokeless tobacco with high nitrosamine levels). Quitting smokeless tobacco use is as challenging as smoking cessation. All smokeless tobacco products contain nicotine and are therefore highly addictive. Smokeless tobacco products typically contain over 3000 constituents. Smokeless tobacco products are produced in various forms, such as chewing tobacco, snuff, snus, and dissolvable tobacco products. Their use involves chewing, sniffing, or placing the product between gum and the cheek or lip. Smokeless tobacco is a tobacco product that is used by means other than smoking. A historical depiction of a man taking snuff using his thumb and forefinger.
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