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Chewing tobacco increases your heart rate and reduces oxygen to the heart, setting the stage for a host of cardiovascular issues

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Prev Med 1990: 19 : 190197

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[2] Using chewing tobacco can cause various harmful effects such as dental disease, oral cancer, oesophagus cancer, and pancreas cancer, coronary heart disease, as well as negative reproductive effects including stillbirth, premature birth and low birth weight

Dong, Z., Birrer, M