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While smokeless tobacco has demonstrably less carcinogens and toxins than cigarette smoke, said Hecht, smokeless tobacco still has remarkably high levels of carcinogenic tobacco-specific nitrosamines levels that are 100 to 1,000 times higher than in any other consumer product that is designed for oral consumption. In a separate study, the team evaluated carcinogen biomarker levels in individuals using these products
Ma SH, Kim BG, Choi JY, Kim TJ, Kim YM, Kim JW, Kang S, Kang D, Yoo KY, Park SK: Korean epithelial ovarian cancer study (Ko-EVE): protocols and interim report