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Because snuff is also placed in the mouth or sniffed through the nose, this form of tobacco can lead to: Mouth cancer Esophageal cancer Pancreatic cancer Gum disease Heart disease Stroke Chewing Tobacco Effects Chew, or chewing tobacco, is sold as loose, braided, or compressed leaves

doi: 10.1136/jitc-2021-002408 16 DugganJMYouDCleaverJOLarsonDTGarzaRJPrunedaFAGet al

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Some of the early warning signs include: A burning sensation during urination Increased vaginal or penile discharge Mild lower abdominal pain Pain or discomfort during sexual intercourse Redness or inflammation of the genitals Since these symptoms can be mistaken for other conditions, routine STI screening is essential , especially for those with multiple partners or those who have had unprotected sex