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Smokeless tobacco is sometimes used in the workplace by employees, especially if the employer does not provide many cigarette breaks or if the employee is consistently using both hands during work (which doesn't provide opportunities for cigarette smoking)

This condition involves damage to the arteries that oxygenate the heart

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Waters AJ, Shiffman S, Sayette MA, Paty JA, Gwaltney CJ, Balabanis MH (2004)

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Confusion may arise from the fact that the term rap is used in Iberophone countries and by Ibero-Romance language (namely Portuguese and Spanish) speakers to refer to nasal snuff in general, rather than the particular form of nasal snuff produced and used by peoples native to the Amazon Basin region