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However, any effect during the study from participants resuming snus use would likely have attenuated the results and affected the trend in, e.g., home BP

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Graham James, the inquiry's chair, said opportunities to stop the doctor's behaviour were repeatedly missed by a system characterized by "wilful blindness." "Eight years passed between medical professionals raising concerns about Ian Paterson's medical practice and his suspension," James said

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This made chewing tobacco far less convenient, and sparked a great migration towards cigarettes, deemed safer in the public conscience