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If reporting shortfalls are not the reason, then why else might recall estimates be higher

Smokeless tobacco: around 6.5% of the global population aged 15 and over use smokeless tobacco (8.4% of males and 4.6% of females)

doi: 10.1016/j.pbb.2006.12.017

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Smoking also raises the risk for erectile dysfunction and reduced fertility in men, and low bone density, altered menstrual cycles, and pregnancy complications in women, as well as dangers to unborn babies