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It is almost certain that they are less harmful than cigarettes

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Overall, Im more convinced than ever by Greg Olivas argument, which also had been long promulgated by noted public health researchers Prakash Gupta in India and Greg Connolly and Scott Tomar in the U.S., that the use of smokeless tobacco is not an effective smoking cessation strategy and undermines the messaging to adolescents to avoid initiating use of these products