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Smokeless tobacco users faced a heightened risk of heart attack and death due to heart disease

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Future studies could explore whether social media may be increasing uptake in this cohort, or whether they are less able to use strategies or support to avoid long-term relapse We need to do a lot more research to find out. Most smokers now predominantly use rollups, the authors found, with 54% of adults of all ages mainly or exclusively using hand-rolled cigarettes, up from 42% in 2013