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Williamson J, Digard H, Richter A, McAdam K: Development of a laboratory based analysis system for measurement of snus constituent extraction by users

However, when inhaled directly into the lungs, it can cause scarring in the air sacs, which in turn can cause the airways to thicken and narrow (popcorn lung)

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doi:10.1093/ntr/ntac214 Reuters

Andersson G, Bjornberg G, Curvall M: Oral mucosal changes and nicotine disposition in users of Swedish smokeless tobacco products: a comparative study