Studies indicate it is generally well-tolerated for long-term use and helps ease withdrawal symptoms by providing a steady amount of nicotine without smoking
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If they are exposed to nicotine in their early years, then the nicotine from chewing tobacco may have already altered the structure and functions of various parts of their brain, which negatively impact their memory, attention, and learning
They may be more concerned about whether you are impaired, whether you can consent, and whether any other medical or behavioral factors affect eligibility