Although 90 percent of those cancers can be attributed to carcinogenic chemicals present to smokeless tobacco, little information exists about the levels of such chemicals across various smokeless tobacco brands and products sold in India
These models were adjusted for sex and race/ethnicity (White non-Hispanic, Black non-Hispanic, Hispanic, other non-Hispanic), and tobacco use status
Sajid M, Srivastava S, Kumar A, Kumar A, Singh H, Bharadwaj M (2021) Bacteriome of moist smokeless tobacco products consumed in India with emphasis on the predictive functional potential
It can also lead to DNA damage in sperm, hormonal imbalances, and erectile dysfunction, all of which can impair fertility