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Oral lesions associated with daily use of snus, a moist smokeless tobacco product

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A Florida tobacco-grower gives the following account of the plant: "The Gadsden 'wrapper-leaf' was always in high repute, and extensively used in the manufacture of cigars, being in size, firmness, and texture fully equal to the best Cuba, and far superior to the Connecticut seed-leaf

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The authors also found higher salivary levels of several inflammatory cytokines among medwakh users, which they interpreted as evidence of increased local inflammatory activity associated with medwakh smoking