why do people like chewing tobacco Is snuff really safer than smoking? Chewing tobacco use still high

It's available in dry or moist forms and is packaged in tins or tea bag-like pouches

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Tobacco substances undergo first-pass metabolism in the liver, exposing the organ to a complex array of over 4000 toxic chemicals, including nicotine, nitrosamines, aromatic hydrocarbons, and various carcinogens [2,3,4]

According to NICE guidance, referral to a hepatologist should be considered for patients with advanced fibrosis (indicated by non-invasive tests), persistently abnormal liver function tests despite lifestyle modification, or diagnostic uncertainty

Ongoing follow-up and monitoring Support should continue beyond initial counseling

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