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It is important to note that there is no definitive causal link established between chewing tobacco and fatty liver disease in the same way as with alcohol or obesity

Brodkey , MD, FCCM, Associate Professor, Section of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI

Prohibited tobacco Any product that may be chewed but does not need to be chewed or is not usually chewed is not covered by the definition of chewing tobacco

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But let's not forget what I was reminded of, one of the grand-daddies of them all, when I saw this in the window of a carwash (soap-free?)