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Levels of these biomarkers among smokeless tobacco users were similar to those of never smokers. The study also found that smokeless tobacco users who had formerly been cigarette smokers had lower levels of both inflammatory and oxidative stress biomarkers and tobacco exposure biomarkers than current exclusive cigarettes smokers, even though they had higher nicotine levels

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This can intensify neuropathic symptoms and increase the risk of developing diabetic neuropathy-related complications like foot ulcers and infections

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But this process also allows germs to get into the body too