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Early in 1994, a study 14 analyzed 454 patients with oral carcinoma and found that 60% of those with oral carcinoma smoked and over 95% of neoplasms were squamous cell carcinoma, while another study 15 in 1999 stressed the significance of tobacco in the progress of oral epithelial dysplasia (OED) in a large number of European patients

One study found cancer-causing tobacco-specific nitrosamines in 26 pouch brands

Much like smoking, vaping can also cause oxidative stress

The findings underscore the need for more robust processes in data reporting, ideally built into international legal instruments or other mandated processes