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The process is very similar to smoking cigarettes

The weighted prevalence of smokeless tobacco use was 20.43% (95% CI: 15.75-26.06%) with a rural-urban absolute difference of 10.79%

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Produced by Swisher International , these machine-made mini cigarillos use homogenized tobacco to provide a reliable draw, even burn, and approachable smoking experience

After 2 weeks of usual treatment with a 21-mg patch, participants who fail to quit smoking (target n = 400) will be randomized to receive escalating doses of a nicotine patch vs matching placebo patches for an additional 10 weeks or up to a maximum dose of 84 mg per day