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While vaping without nicotine is generally considered less harmful than vaping with nicotine, it is not entirely risk-free

Psychological dependence : Psychological dependence is the feeling of needing nicotine, or in this case, chewing tobacco, to get through your day as it is already included in your daily routine

Khan said in a news release

Dried tobacco leaves are used in many forms such as smoking in cigarettes, cigars, bidis, and electric cigarettes, chewing tobacco in the form of Gutka and chunna, dipping tobacco, and snus (a powder which is kept between lower lip and gums)

Other Indian studies reported self-reported chronic health conditions [42], obstetric and neonatal health but not of gastro-intestinal, urinary disease [43] or asthma [18], and reduced chronic lung disease (OR = 0.64