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7 Gum Recession: The constant irritation caused by dip can lead to gum recession, exposing tooth roots and increasing the risk of tooth decay

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Surgeon General concluded that users of chewing tobacco should know that chewing tobacco "is not a safe substitute for smoking cigarettes." Chewing tobacco contains nicotine, which is highly addictive, as well as several known cancer-causing chemicals

In one study, smokers had higher daytime ambulatory systolic blood pressure than non-smokers 12