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Surgeons should understand the risks of smokeless tobacco use on fracture nonunion, infection, and osteomyelitis, and use this information to inform clinical decision making and recommendations to patients

New York ($14.50): $12.85 = -11% Noah Kulwin is The Awls summer data journalism fellow.

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What needs to happen next to address the problem

And while its cheaper per pound than many competing tobaccos, its yields are low

Understanding its construction provides insight into both the innovation and the cautionary lessons it carries