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You leave it in your mouth for about half an hour or more without having to spit, then discard it

Smokeless tobacco and cancer go hand in hand

And I think it's tough to talk about that because it is understandable that people want to make ethical decisions or eat in a way that's in line with their values, and maybe they're doing a lot of other things in their life that are sort of geared towards trying to minimize their impact or vote with their dollar in some way

If you have any of these conditions, your GP can assess your fibrosis risk using validated scoring tools such as FIB-4, which may be followed by further testing if indicated