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However, smokeless tobacco is just as likely as smoking to cause oral cancer and other dental and physical health concerns

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2017;50(suppl 61):PA2667

Its just as well that the mechanism works this way, as inhalation of alkaline smoke with moderate to high nicotine levels could bring about some of the less desirable effects of "vitamin N", such as light-headedness, hiccups (the "nic-hics"), rapid heart rate and/or queasiness