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Learn more about the industrys attempts to appear like they are in favor of harm reduction in Truth Initiatives report on Spinning a New Tobacco Industry: How Big Tobacco is Trying to Sell a Do-Gooder Image and What Americans Think About it and see additional information about the Philip Morris-funded Foundation for a Smoke-Free World from the Campaign for Tobacco Free Kids

In India, a cross-sectional study in Bihars villages concluded the highest smokeless tobacco use with 33% and khaini being the dominant choice (57%) (17, 18)

I don't know if it's always apparent from the label whether it's synthetic or not, but that's a nuance that we've seen in our research

its about creating the perfect balance

You hope in some way, they can eliminate it and wipe it out."