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A study in ScienceDirect also shows 12.5% to 39.4% of users develop leukoplakia, white patches in the mouth that can turn cancerous

Once your mouth is filled with tobacco juice, spit the contents out into a plastic water bottle or spittoon

Talk to your doctor about the purpose, side effects and ways to manage side effects for all of your options

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Chew nicotine gum or wear a patch

David Sutton, a spokesman for the tobacco firm Altria, whose subsidiary sells Skoal smokeless tobacco, declined comment on the legislation Tuesday