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While it lacks tobacco, it still contains nicotine, which raises similar questions about permissibility in Islam

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Instead, smoking remains the #1 preventable cause of cancer-related death worldwide, with lung cancer leading the charge.[28] Smokers are at significantly increased risk for many cancers beyond lung cancer , including cancers of the bladder, pancreas, kidney, cervix, head and neck (oral cavity, larynx, pharynx), and acute myeloid leukemia.[28b] There is no peer-reviewed evidence that nicotine patches, gum, or pouches cure or prevent cancer

[DOI] [PubMed] [Google Scholar] 48.Khalid SH, Qadir MI, Massud A, Ali M, Rasool MH

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