Source: WebMD By: Daniel J. DeNoon If you use snus, do you win or lose? Snus -- alternately pronounced snoose or snooze -- is a smokeless, flavored tobacco product very different from snuff. When placed between cheek and gum, it doesn't make you spit. Even its critics admit that snus is less harmful than other forms of smokeless tobacco. And it is far less harmful than cigarette smoking. So is snus a good thing? It would be a good thing if everyone who smoked cigarettes or dipped snuff switched to snus instead. It would be a good thing if snus were a way station on the road to quitting all forms of tobacco. It would even be a good thing if kids who would have become smokers became snus users instead. But despite all of that, mounting evidence suggests snus isn't a good thing -- and may be far worse than they appear. Snus: Less Harmful, But Not Safe Cigarettes are the world's most efficient nicotine delivery device. They are also the most deadly. Many of the most dangerous byproducts of cigarettes are created during the burning process. Smokeless tobacco products obviously don't burn. But smokeless tobacco is a major cause of oral cancer, pancreatic cancer, and esophageal cancer. Much of this risk comes from cancer-causing chemicals called nitrosamines and polycyclic aromatic hydrocarbons (PAH). And snuff products actually deliver more cancer-causing nitrosamines than cigarettes do. But nitrosamine content is far lower in snus than in snuff, says Stephen S. Hecht, [...]