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It is generally recommended to seek medical advice for any signs and symptoms of mouth cancer that persist for a period of more than two weeks, including: Prolonged coughing Swallowing, speaking, or chewing problems Difficulty moving jaw or tongue Throat or mouth pain, soreness, or thickness

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Mostly I think this is because folks enjoy tobacco differently, therefore while more air will change the blend, otitis for the better or the worse is dependant upon your pallete

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