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Snuff can be inhaled, and was common among aristocracy in 18th and 19th century Europe, or it can be consumed orally, as is the case with dipping tobacco and snus

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Thats not to say it isnt an improvement on the original, but the visuals do feel somewhat dated

In line with previous LMIC studies ( Methodological limitations This study was conducted in three preparatory schools in Upper Egypt, which may limit the transferability of findings to other Egyptian regions or school types