can chewing tobacco cause sore throat It may be smokeless, but it's still Tobacco and cancer: MedlinePlus Medical

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The carcinogens in cigarette smoke, such as formaldehyde and benzene, cause mutations in throat cells over time

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2010, Neurobiological mechanisms involved in nicotine dependence and reward: participation of the endogenous opioid system. This neurotransmitter release results in feelings of pleasure and reward, reinforcing the addictive nature of tobacco use

Florida spends $66 million every year on smoking prevention to North Carolinas $1.2 million