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The greater increase compared to smoking, as well as the protective associations for those who ceased use in the three months before their first visit (adjusted odds ratio 0.71 (0.441.14) for snus use and 0.88 (0.731.05) for smoking) make it difficult to interpret these results as causal

It also affects the oral health of a person and continuous use can develop lesion in the soft tissue in the mouth which is precancerous

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