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Additionally, these substances, as well as tobacco products, have been seen to have neurotoxic effects which means that they directly cause the malfunction and death of nerves

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Acknowledgements We thank Professor David Nutt and Professor Stephan Ripke for their helpful comments on the manuscript

doi:10.1016/S0022-3565(25)33068-5

Based on the NMLS and NHIS datasets, SLT users, in general, did not display a significantly increased risk for all-cause mortality, all-cancer mortality, or diseases of the heart compared to never-tobacco users