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Secondary cigar smokers, however, have learned to inhale smoke, and increase their risk of cancer and heart disease

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Furthermore, carcinogenic tobacco specific nitrosamines (TSNAs), such as N-Nitrosonornicotine and 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone, have been detected in many nicotine pouch products, albeit generally at much lower levels than in traditional smokeless tobacco or cigarettes (13, 18)

"Anecdotally, from talking with hiring managers in the field, jobseekers who smell of tobacco place themselves at a great disadvantage for securing employment," she added