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You can get up to several hours' worth of nicotine from a pinch of chewing tobacco, much longer-lasting than a cigarette

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We need to adapt screening guidelines to make sure we are not inadvertently creating disparities either by gender or race and ethnicity, he said, citing research that showed that prior screening guidelines that required a 30 pack-year history excluded a larger proportion of women compared with men and minorities compared with non-Hispanic White individuals