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According to the Tobacco-specific nitrosamines (TSNAs) are the strongest of the cancer-causing substances in smokeless tobacco

Trends in Cigarette Consumption Among All Current Smokers Among all current smokers, mean overall cigarette consumption decreased from 13.5 [95% CI: 13.2 to 13.7] cigarettes per day in 2008 to 11.0 [10.511.4] in 2023 (Table S2

doi:10.1161/STROKEAHA.116.014099
