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If you are a patient dealing with heart problems, or any complications with smoking cessation it is advisable to consult a doctor

However, these two substances are actually not related at all

Initially, there is a greyish white area which develops at the site of tobacco placement with a wrinkling of the mucosa which is termed as tobacco pouch keratosis13

We invite you to always read the ingredients listed on the packaging to ensure they are suitable for your personal use.
