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Nicotine addiction develops through repeated exposure to nicotine, which alters the brains chemistry and creates a cycle of dependence

In the U.S., common smokeless tobacco products include: Despite not producing smoke, smokeless tobacco products are still harmful and carry risks similar to those of both combustible and electronic tobacco products

Among high school students, smokeless tobacco use is highest among American Indian or Alaska Natives (9.2%), followed by whites (5.7%), Native Hawaiian or Pacific Islanders (5.3%), Hispanics (2.2%), blacks (0.9%), and Asians (0.7%)

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