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Monitoring for seizure, hypertension (only if used with NRT), and worsening and emergence of suicidal thoughts/behaviors is recommended

Government authorities have widely promoted that "there is no safe tobacco product." One warning on smokeless tobacco is: "This product is not a safe alternative to cigarettes." This is not adequate information for smokers and has contributed to the belief that all tobacco and nicotine products are equally harmful

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1 Year: The risk of heart disease drops by half compared to a smoker