what is the difference between chewing tobacco and dip Facts About Dipping Chewing Tobacco - Missouri Poison

WHO Technical Report Series Vol

2016 Behavioral Risk Factor Surveillance System Results. Available at: 7 Centers for Disease Control and Prevention

Both chewing tobacco and smoking can raise your blood pressure and damage the walls of your arteries

Nicorette should be used with caution in cases of: - systemic hypertension cerebrovascular disease - stable angina pectoris - regardless compensated heart failure - vasospasm - peripheral vascular disease ulcer - active duodenal ulcers - excessive thyroid - insulin dependent diabetes (lower insulin doses may be necessary after quitting smoking) - pheochromocytoma (because nicotine provides for the release of catecholamines from the adrenal medulla) - moderate to severe hepatic Only in cases of severe kidney damage, the separation of nicotine metabolites or the related metabolism in jeopardy

A quick Cotinine test can confirm compliance