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Current smokeless tobacco users are persons who reported using chewing tobacco or snus every day or some days at the time of the survey

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Nicotine can influence glutamate signaling, and while that can contribute to sharper focus in some people, it can also worsen symptoms in those who already feel wired but tired, overstimulated, anxious, restless, sound-sensitive, light-sensitive, or prone to insomnia

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So far, I have argued that individual smoking behaviour is reflexively related to social norms surrounding smoking in the social network as well as to physiological nicotine dependence