is chewing tobacco more harmful than smoking Tobacco: Understanding Its Side Effects – Aayush Wellness Chewing tobacco - Wikipedia

Nicotine affects various metabolic processes throughout the body, including insulin sensitivity and lipid metabolism, which are relevant to fatty liver development

Other risk factors of oral cancer are poor dental hygiene and infections like HPV

REFERENCES 1.Moran MB, Pierce JP, Weiger C, Cunningham MC, Sargent JD

While dipping does not create a toxic cloud, like cigarette smoke, it does come with its own social issues

Wiggers LC, Stalmeier PF, Oort FJ, Smets EM, Legemate DA, de Haes JC (2005)

(68) conducted research on the effect of passive exposure to ETS among infants on micronutrients concentrations, however, its subjects were iron, zinc and copper, and selenium concentration dependence was not studied