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Furthermore, EC and CS significantly altered oral microbiome diversity and composition, increasing Prevotellaceae and decreasing Neisseria compared to nonsmokers

Nationally, smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 4.3% of high school students in Kentucky smoked cigars, cigarillos or little cigars on at least one day in the past 30 days

Previous studies have both supported and debunked the link between smokeless tobacco and heart disease, said Henley, who believes more research needs to be done to confirm the findings

The right choice depends on whether you want to reduce harm, quit nicotine, or replace the physical ritual