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How chewing tobacco accelerates cancer Chewing tobacco contains multiple carcinogens, including tobacco-specific nitrosamines (TSNAs), which are among the most potent cancer-causing substances found in tobacco, according to cancer.gov

Non-invasive fibrosis assessment using tools such as the FIB-4 score or NAFLD Fibrosis Score, followed by the Enhanced Liver Fibrosis (ELF) blood test or transient elastography (FibroScan) according to local pathways, helps identify those at higher risk of advanced disease

Like cigarettes, smokeless tobacco is a risk factor for several types of cancer, including bladder cancer

By quitting smoking and adopting healthy habits, individuals can reduce their risk of liver damage, inflammation, and cancer and promote optimal liver function for a lifetime of good health