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Image source: doctorspiller.com Verrucous Carcinoma: The longer snuff is used, the thicker and whiter the leukoplakia becomes and the more likely the lesion is to transform into an aggressive form of squamous cell carcinoma known as verrucous carcinoma

They might develop bronchitis, pneumonia, the flu, or a cold

Counsel patients for tobacco cessation

In addition, according to Dr Suleiman, sweika can lead to elevated blood pressure and narrowing of the coronary blood vessels, increasing the risk of heart attacks

Harm Reduct J 22:19

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