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Smokeless tobacco users are especially likely to get throat cancer, as they regularly swallow tobacco juice
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(in Russian) Andersen RA, Burton HR, Fleming PD, Hamilton-Kemp TR (1989) Effect of storage conditions on nitrosated, acetylated, and oxidized pyridine alkaloid derivatives in smokeless tobacco products
These areas are actually pretty common, especially around train stations and other gathering places, so make sure you go with the flow and stick to the smoking areas when consuming tobacco products in Japan
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