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No tobacco product, including General Snus, is completely harmless, which is why youth and non-tobacco users should not use it in the first place

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In Palau, 63% of middle school and 75% of high school students have chewed betel nut, and more than half of the high school students have chewed it with tobacco, with the vast majority having used cigarettes as their source of tobacco, according to the Global Youth Tobacco Survey

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A total of 68/108 SLT users (62.96%) had Helicobacter pylori infection which was significantly higher compared to the controls ( P 0.05)