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Has a worldwide foot print

Henderson W

PMID 1536359

Andrologia 50:e12910

Among AL pitchers, Ohtani finished the year first in strikeouts per nine innings pitched (11.87), third in strikeouts (219), fourth in ERA (2.33) and tied for fourth in wins (15), while amongst AL hitters, Ohtani ranked fourth in homers (34), fifth in OPS (.875), fifth in total bases (304), third in intentional walks (14), tied for third in extra-base hits (70), fifth in slugging (.519), tied for fourth in triples (6), seventh in RBIs (95), seventh in walks (72), and tied for eighth in runs (90)

Most of these harms are not known to apply to smokeless nicotine products