chewing tobacco and bladder cancer in any form is harmful—it has been linked to several cancers, including lung, colorectal, breast, throat, cervical, bladder, mouth, esophageal cancers. The best choice is to never start, but if BCANTT 2024: Implementation of Smoking

Durbin said military personnel use smokeless tobacco at a rate 400 percent higher than civilians

It can be picked up by touch, easily transferred from hand to mouth, and inhaled when it off-gases

Epigenetic modifications from exposure to cigarette smoke may yield autoimmune-inducing effects Epigenetic modifications, heritable from one cell cycle to the next, regulate DNA transcription, but do not alter nucleotide sequence and are potentially reversible [82]

Varenicline, in particular, has the highest success rate and may be combined with NRT for better outcomes [8]. Behavioral Therapy: Counseling, such as in-person, online, or in group, and motivational interviewing, can increase quit rates when combined with pharmaceuticals

That means the age restriction applies regardless of what you plan to roll inside