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[19] Accordingly, similar to the marketing efforts of e-cigarette companies, it is clear through promotional efforts by the tobacco companies selling oral nicotine products that they are incentivizing continued and uninterrupted use of their product in perpetuity and gaining significant appeal from youth who may not currently smoke, thereby potentially initiating or prolonging nicotine and tobacco dependence

There is an increased risk for cancer of the tonsils, posterior mouth, and lungs in individuals who develop nicotinic stomatitis from their tobacco use

"Marketing to America's youth: evidence from corporate documents"