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Most smokeless tobacco users put products behind their lower lip a practice that generates tobacco juice and leads to spitting

These stress hormones signal the liver to release stored glucose (glycogenolysis), which raises blood sugar rapidly

In adolescents and young adults, thats where theres growing concern about habitual use and its effect on physical and mental health, Wang said.

Quitting isnt about stopping cold turkey and many find they have better success by reducing their intake gradually

Make a list of three situations youre most likely to dip and chew, and make every effort to avoid using tobacco at those times