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Considering the multiple demographic differences in age of initiation of SLT use suggested by our analyses, interventions to delay the onset and progression of SLT use should be implemented earlier in the life course of males, non-Hispanic Whites, and those who have experience with other types of tobacco product use

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oral taxon 66 , and Actinomyces meyeri were more abundant in shammah users, while Oribacterium asaccharolyticum was more abundant in non-users