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Fourth, a causal link cannot be established from cross-sectional surveys, associations are studied, and a possible reverse causality cannot be excluded

Our study shows that the levels of TSNAs in these products can vary widely, with extraordinarily high levels observed in two different brands of zarda (Chadpuri shah and Hakimpure, with 114 and 105 g TSNA/g SLT, respectively), which are among the most popular forms of SLT in Bangladesh [31]

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