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Chewing tobacco and snuff effects on your health The American Lung Association lists five potential long-term effects of chewing tobacco: Cancer of the mouth, esophagus, pancreas Gum disease Tooth decay Tooth loss White (or gray) patches in the mouth (leukoplakia) The long-term effects of chewing tobacco and snuff are detailed below

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Consistent, documented enforcement is essential: selective enforcement is one of the most common grounds on which disciplinary action for a smoking violation is overturned

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