If you’re planning to smoke a lot of cigarettes, you should try to reduce the amount of tobacco that you chew.
“Cigarette chewing is a major cause of gum disease and the incidence of gum cancer,” says Dr. David Givens, an infectious disease expert at the University of California San Francisco School of Medicine.
The most common type of chewing tobacco is a chewing tobacco gum that contains chewing tobacco.
It contains tobacco, sugar, nicotine and other chemicals, but it’s also made from chewing tobacco, gum, wax and tobacco leaves.
“The best way to minimize your exposure to this type of tobacco is to minimize the amount you chew and the time you chew,” says Givins.
Givons also advises that you use chewing tobacco as an alternative to cigarettes, because the gum contains less nicotine.
“I don’t know how to say this better than that,” he says.
“If you can’t quit, you probably should not use it as an aid to quitting.”
The American Heart Association recommends that people who smoke cigarettes, cigars and chewing tobacco to get at least 20 to 30 cigarettes a day, depending on their risk of heart disease and blood pressure.
“People who smoke, or chew tobacco, have lower rates of cardiovascular disease, and are at lower risk for cardiovascular events than nonsmokers,” says American Heart Council executive director Dr. Richard Katz.
The American Cancer Society says that people should get between 20 and 40 cigarettes a week.
“To get the same level of protection that cigarettes provide, you need to get about 50 to 60 cigarettes a month,” says Katz.
“So the average person needs to smoke about 30 to 40 cigarettes per day.”
Smoking cessation advice from the American Heart Federation: Avoid chewing tobacco and cigars.
Try to reduce your consumption of tobacco products, including chewing tobacco or chewing cigars.
If you have gum disease, use chewing gum instead.
If your risk of gum or tooth disease is high, use gum.
If gum or teeth disease is moderate, use tobacco.
If it’s not serious enough, use nicotine patches.
If chewing tobacco isn’t a good option, try to get more nicotine from a natural source, such as chewing tobacco leaves, chewing gum or chewing tobacco chewing tobacco leaf.
Gives you less chance of gum, tooth and lung disease.
When you have a gum or dental disease, try a gum that has a little bit of nicotine added to it.
If there’s a lot in it, the nicotine can give you a bit of a high.
This helps you get off gum and teeth.
When your risk is low, it might help you cut back on chewing.
“Try to get up to 50 to 80 cigarettes a night if you’re going to smoke,” says Fung, who has written a book on gum and tobacco and co-authored a paper on gum-and-tobaco use.
“This is about 40 to 50 cigarettes a cigarette, depending upon how much gum you chew.”
For people who don’t smoke, Givs suggests that they get their daily dose of nicotine patches, and get their nicotine intake from natural sources.
If the gum or cigars have nicotine in them, the amount can be as little as 0.5 mg of nicotine per dose, says Gives.
“You could take a cigarette with one dose, and you might get a couple more doses of nicotine on the second and third doses,” he adds.
“We’re not saying the nicotine is the problem, but you need a lot more.”
The National Institutes of Health says that gum and cigars are the best natural nicotine replacement for adults over age 40.
The Institute of Medicine, a nonprofit organization of public health experts, says that regular use of chewing or chewing gum can help to reduce or prevent gum disease.
If, for instance, you have low blood pressure or diabetes, you might be able to lower your blood pressure by using gum and/or cigars, according to the Institute of Nutrition.
And Givns recommends that you stop using chewing tobacco altogether.