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In 1842, Charles Dickens visited our shores and was thoroughly grossed out by what he called the torrents of "yellow rain." He noted there were spittoons everywhere-in courtrooms, hospitals, the Senate

Using smokeless tobacco may cause gum disease, and oral lesions other than cancer, such as leukoplakia (precancerous white patches in the mouth)

However, for those looking to reduce harm while managing cravings, Zyn pouches are a modern, practical option

10.1001/jama.1991.03470220049025 Basler HD, Brinkmeier U, Buser K, Gluth G: Nicotine gum assisted group therapy in smokers with an increased risk of coronary disease - evaluation in a primary care setting format