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German Hemp Plastic

(used for chewing): Qiwam (Kiwa) is a thick tobacco paste

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Made of Walnut

Despite the obvious biologic plausibility, the lack of consistent epidemiological evidence might be due to methodological issues including lack of cohort follow-up time into older adulthood (when lung cancer usually becomes clinically manifest), small sample sizes, selection and recall biases, and lack of adjustment for tobacco use in the statistical modeling