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If someone swallows chewing tobacco, there can be stomach upset, nausea, and vomiting, but typically, the ingested tobacco is vomited up before there has been absorption of the nicotine

Health campaigns against smoking are being conducted on a global scale, with the WHO leading the pace on measures that help people in both developed and developing countries quit smoking[xix]

Mouth cancer in India: a new epidemic

Health consequences of using smokeless tobacco: summary of the Advisory Committees report to the Surgeon General

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