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Although calculating SLT pack-years becomes difficult to assess and standardize in tobacco research, we note below a formula for SLT pack-year equivalent as follows: Smokeless tobacco pack-years = [Amount of tobacco used per day (g)/Standardized pack equivalent (g)] Years of use or When only mass data are available, a mass-based formula could be used: where M_ref is a study-justified reference mass equivalent

Grading is typically done using a standardized system that assigns a grade or rating to each leaf based on its overall quality

Breastfeeding: Nicotine is excreted in breast milk

Or maybe we just throw up our hands and muddle along.

However, if you decide to start addiction treatment, you will need to pay for the treatment through your health insurance policy or out of pocket