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Product variants: F17.200 unspecified, F17.220 chewing tobacco, F17.290 other products including vaping

Charlie Health is a nationwide virtual Intensive Outpatient Program (IOP) for youth and young adults (11- to 33-year-olds) struggling with a variety of mental health disorders, including major depressive disorder and generalized anxiety disorder

The product consists of finely processed tobacco which is developed in such a way as to allow the substance to dissolve on the tongue or in the mouth

The carcinogens of tobacco smoke are thought to cause direct and indirect DNA mutations, and indirect DNA damage which disturbs the cellular processes 22 and switches tumor suppressor genes or oncogenes, on or off, and related to the development of OSCC 26

The cycle of cravings and withdrawal can create a constant state of stress and anxiety