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The majority of Wyoming students in 6th, 8th, 10th, and 12th grades reported they had no close friends who used smokeless tobacco, there was no or very little chance they would be seen as cool if they used smokeless tobacco, it was wrong or very wrong for someone their age (excluding 18-year-olds) to use smokeless tobacco, or their parents felt it was wrong or very wrong for them (excluding 18-year-olds) to use smokeless tobacco (Figure 7

Some of these substances can accumulate in the body over time and cause adverse health effects, such as thyroid disorders and cancer

Alcohol for instance

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