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Dipping and chewing negates that and takes away from all the gains. Among the reasons why using smokeless tobacco impacts a users personal health - along with negatively impacting mission readiness - are decreased muscle strength

Hasin D, VanRossem R, McCloud S, Endicott J (1997) Alcohol dependence and abuse diagnoses: Validity in community sample heavy drinkers

Effect measures Unadjusted (ORs) and adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were extracted in the included studies