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Smokeless tobacco Smokeless tobaccocomposed of fermented plant materials, alkaline additives (e.g., sodium carbonate), and carcinogenic nitrosaminesdiffers fundamentally from combustible cigarettes and aerosolized ECs by delivering nicotine and toxins through direct mucosal contact rather than inhalation, a distinction that reshapes its biological interactions and uniquely perturbs oral microbial ecosystems through pH modulation, xenobiotic exposure, and epithelial barrier disruption

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Its an exciting time in space medicine to start answering some of these questions. Editor's note: Sign up for CNNs Wonder Theory science newsletter