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In the case of dark fired Kentucky burley they are exposed to open fires (smouldering, not blazing, otherwise the tobacco will prematurely burn up) of hardwood and hardwood sawdust that are maintained on the barn-floor and give off smoke

Oral smokeless products are not risk-free and deliver nicotine, which is not the main cause of smoking related diseases, but it is an addictive substance and carries its own risks

Second, nicotine replacement therapy (NRT) products and pharmaceutical cessation aids are excluded because they are designed for therapeutic use, operate on a different mechanism of nicotine delivery, and do not represent a combustion-based smoking substitute