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Smokeless tobacco is known to have carcinogens like nitrosonornicotine

The study, published today in Environmental Health Perspectives by researchers at Virginia Commonwealth University Massey Cancer Center, is the first to connect secondhand smoke during pregnancy with epigenetic modifications to disease-related genes, measured at birth, which supports the idea that many adult diseases have their origins in environmental exposures such as stress, poor nutrition, pollution or tobacco smoke during early development

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