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National Health Service

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long cut) alternatives like Black Buffalo offer several safety advantages compared to traditional tobacco products: Key Benefits: No tobacco-specific nitrosamines (TSNAs), which are powerful carcinogens found in tobacco products Absence of B[a]P, a known carcinogen present in traditional smokeless tobacco Laboratory tests show no cell damage, DNA mutations, or genetic harm Lower risk of oral cancers compared to traditional smokeless tobacco Remaining Concerns: High nicotine content (11.25 mg per pouch) creates addiction risk Slightly higher levels of formaldehyde and arsenic than competitors, though still below safety thresholds Cardiovascular effects from nicotine, including elevated heart rate and blood pressure Possible long-term effects on oral health While the CDC emphasizes that no tobacco or nicotine product is completely safe, Black Buffalo may offer a less harmful option for current tobacco users

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Black American high school students had lower prevalence of cigar use in 2023, yet still had the second highest current use prevalence (1.9%), following Hispanic American students (2.3%)