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[13] While chewing was very popular among many major league baseball players in the past, the league currently prohibits the use of chewing by players and strongly discourages clubhouse attendants from purchasing chew for players

Two elements are unique for smokeless users, however: There is often a stronger need for oral substitutes to take the place of the chew or snuff

Despite the known harms of tobacco to heart health, and the availability of solutions to reduce tobacco-related death and disease, public awareness of the link between tobacco and heart disease remains low