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Medical and Cosmetic Dermatology Book An Appointment Online Now Elyse is a board-certified Physician Assistant who specializes in medical and cosmetic dermatology

This direct exposure damages cells and increases the likelihood of mutations that can lead to cancer.The Nature Communications study highlighted that even moderate use of chewing tobacco over time can result in precancerous lesions and a faster progression to malignant tumors compared to cigarette smoking

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This pattern is particularly alarming in individuals with existing metabolic risk factors or liver disease, where dual use may exacerbate hepatic steatosis, inflammation, and fibrosis

McDaniel JC, Browning KK

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