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While traditional chew is made from tobacco leaves, a can of tobaccoless dip (it can also come in the form of a pouch) is usually made from herbal ingredients like tea leaves and can be flavored with natural spices and herbs

JAMA Pediatr

Wounds heal more slowly, and surgeries carry higher complication risks [2]

Therefore, quitting smoking is particularly important for this group since smoking is the single largest contributor to their 10-20 year reduced life expectancy

An apparent contradiction for the participants was the non-acceptance of 'their' mingkulpa as a tobacco plant alongside their mixing of commercial tobacco products with mingkulpa when in short supply