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This direct exposure damages cells and increases the likelihood of mutations that can lead to cancer.The Nature Communications study highlighted that even moderate use of chewing tobacco over time can result in precancerous lesions and a faster progression to malignant tumors compared to cigarette smoking

However, absorbing effects lag to 2 hours or beyond if taken shortly after heavy meals, as food substantially delays uptake

It is accessible, covers significant volume, and can tell us about high level consumer behavior (e.g

Under demographic and socioeconomic factors, we have included- religion (Hindu, Muslim, Christian and others), caste (scheduled caste (SC), scheduled tribe (ST), other backward caste (OBC) and others), MPCE (monthly per capita expenditure- poorest, poorer, middle, richer, richest) quintile/ wealth index, education (illiterate, less than primary

ISMOD is Heat Not Burn device that heats tobacco without burning it