Substance Use & Abuse

1. Substance Use & Abuse Unit 4

2. Substance Abuse • The U.S. is the #1 consumer of drugs, 75% of the world’s drugs end up here. • America’s Favorite Drug is ALCOHOL! • Drug: any substance that alters bodily functions • Drugs act on the body by stimulating or depressing cellular activity.

3. Substance Abuse- Psychoactive Drugs • Psychoactive drugs- Designed to alter consciousness • Shot term- produce intoxication • Long Term- produce physical and emotional addiction

6. Substance Abuse • Drug Misuse: Taking drugs for appropriate purpose but not proper dosage or for conditions for which they are unsuited. Ex- Can’t sleep so you take Nyquil • Drug Abuse: Excessive or persistent use of a drug. Ex- Smoking Marijuana everyday • Drug Abuse is the #1 killer in Utah

7. Substance Abuse- Why? • Curiosity: desire to experience the unknown • Low self-esteem: drugs serve as a coping mechanism • Peer Pressure: the need to belong, friends • Adult Modeling: to fee grown up • Mood Alteration: mellow feeling or excitement • Boredom • Alienation: lost of control, feel unwanted

8. Substance Abuse- Consequences School Problems • lowered commitment to education • Declining grades • Absenteeism from school & related activities • Increased potential for dropping out • Higher truancy rates

9. Substance Abuse- Consequences Healthy & Safety • Accidental Injuries • Physical disabilities • Diseases (increase HIV & STD infections) • Possible overdose • Drug-related suicides, homicides, accidents, & illnesses may result in death.

10. Substance Abuse-Consequences Peer Relationships • Disengage from school & community activities because of abuse • Depriving their peers & communities of the positive contributions they might otherwise make

11. Substance Abuse-Consequences Social, development, & emotional consequences • Conduct problems • Depression • Suicidal thoughts • Attempted suicide • Personality Disorders

12. Substance Abuse-Consequences Family Issues • Jeopardizes many aspects of family life • Parents & siblings affected • Drain family financial & emotional resources

13. Alcohol – Street Names • Booze • Brews • Hard Stuff • Hooch • Juice • Sauce

14. Alcohol • What is It? • Is a powerful addictive drug • Can affect brain development • Produced by fermenting fruits, vegetables, & grains. • Depressant –slows the central nervous system.

15. Alcohol –Consumed • It's absorbed into a person's bloodstream. From there, it affects the central nervous system, controls virtually all body functions. • Intoxication- the state in which the body is poisoned by alcohol or another substance, and the person’s physical and mental control is significantly reduced.

16. Alcohol-Risk Factors • Persistent learning and memory problems • Liver disease • Unintentional injuries • HIV risk due to impaired judgment • Paralysis of nerves that move the eyes • Difficulty with muscle coordination • Difficulty Walking • Blurred vision • Slurred speech • Slowed Reaction times • Impaired memory/Blackouts • Mental Confusion

17. Alcohol- Long Term Effects • Damage to brain cells and reduction in brain size • +blood pressure- lead to heart attach & stroke • Fatty Liver disease = Death • Damage digestive lining of stomach= ulcers & cancer of the stomach • Destruction of pancreas

18. Alcohol- Binge Drinking • Drinking 5 or more alcoholic drinks at one sitting. • Very popular among young drinkers. • Drinking to get Drunk.

19. Alcohol Poisoning • A condition in which a toxic amount of alcohol (ethanol, ethyl alcohol) has been drunk, usually in a short period of time • Mental confusion • stupor • coma, or person cannot be roused • Vomiting • Seizures • Slow breathing (fewer than eight breaths per minute) • Irregular breathing (10 seconds or more between breaths)

20. Alcohol - Poisoning • Irregular breathing (10 seconds or more between breaths) / • Hypothermia (low body temperature), • Paleness • Heart beats irregularly or stops / • Hypoglycemia (too little blood sugar) which leads to seizures • Untreated severe dehydration from vomiting, which can cause seizures, • permanent brain damage • or death

21. Alcohol- Standard Drink

22. Alcohol- Influencing Factors • Peer Pressure • Family • Media Message

23. Alcohol- Benefits of living Alcohol Free • Maintaining a healthy body • Establishing healthy relationships • Making Healthy decisions • Avoiding risky behaviors • Avoiding illegal activities • Avoiding violence • Achieving your goals

24. Alcohol-Factors Determine BAC • Number of standard drinks • Amount of time in which drinks are consumed • Body weight • Gender • Race • Ethnicity • Medications • Food (to lesser extent)

25. Alcohol- Drunk Driving Facts • Drunk driving is the nation’s most frequently committed violent crime. • Men are 4 times more likely to drive drunk • Over 30,000 Americans are killed each year in drunk driving accidents • Half are teenagers • 3 out of 5 will be involved sometime in their lifetime

26. Alcohol- Drunk Driving Facts • Injuries or death • Arrest, jail time, court, record, lawsuit • Loss of driver license • Higher car insurance rates or canceled policy • Driving with someone who was drinking is just as dangerous or even more

27. Alcohol- Sobriety Nothing but TIME can Sober a Person up!

28. Alcohol- Why 21? • Age limit is based on research which shows that young people react differently to alcohol. • Teens get drunk twice as fast as adults,9 but have more trouble knowing when to stop. • Teens naturally overdo it and binge more often than adults.

29. Alcohol- Why 21? • Enforcing the legal drinking age of 21 reduces traffic crashes,4-6 protects young people’s maturing brains,12,14 and keep young people safer overall. • The younger you are when you start drinking, the greater your chance of becoming addicted to alcohol at some point in your life. More than 4 in 10 people who begin drinking before age 15 eventually become alcoholics.

30. Alcohol- Pregancy • Drinking while pregnant • Most dangerous during 1st trimester • Birth defects – mental & physical problems • Small head & facial deformities • Heart, liver, kidney defects • Vision & hearing problems • Poor coordination • Learning difficulties • Hyperactivity, anxiety, & social withdrawal

31. Alcohol- Alcoholism • Physically or psychologically dependent on alcohol. • Cravings • Loss of control • Physical Dependence • Tolerance • 3 Stages of Alcoholism

32. Alcoholism- Stage 1 • Stage 1- Abuse • Begin with social drinking. Dependence begins. • Memory Loss & Blackouts • Maybe lie & justify behavior

33. Alcoholism- Stage 2 • 2- Dependence • Cannot stop drinking • Tries to hide problem • Work, school, & home suffers

34. Alcoholism- Stage 3 • 3-Addiction • Final Stage= Addiction • Liver damage • Less alcohol needed for drunkenness • Withdrawal

35. Tobacco- Street Names • Butts • Chew • Dip • Coffin nails • Cancer sticks

36. Tobacco • Between 1964 and 2004, cigarette smoking caused an estimated 12 million deaths, including 4.1 million deaths from cancer, and 5.5 million deaths from cardiovascular diseases • 48 million Americans Smoke • 4 million teens smoke • 13 is the average age at which people start smoking in Utah

37. Tobacco • 80% of adult smokers believe they will die of tobacco related causes if they don’t quit. • Every hour of every day of every year 50 people will die of a tobacco related problem.

38. Tobacco- What happens Physically? • Airway of the lungs immediately constricted, decreased lung function hindering physical activity • Nagging coughs and shortness of breath • Increased heart rate • Elevated blood pressure • Oxygen is deprived in the body

39. Tobacco- Effects on the Body • Brain - Nicotine causes the release of chemical in the brain that makes tobacco users crave tobacco. • Heart - as a result of atherosclerosis, the heart must work harder to pump blood. Lead to high blood pressure, heart attack and stroke. • Lungs - smoking blocks the airways, impairs the lungs, and increases the risk of lung cancer and other respiratory diseases

40. Tobacco- Effects on the Body • Skin - ages and wrinkles the skin. • Fingers - can stain the fingers yellow • Mouth teeth and throat - bad breath stains on teeth & decrease the senses of taste and smell. It can cause gum disease, mouth, throat, and esophageal cancer. • Stomach, colon, and bladder - stomach ulcers and bladder, kidney and stomach cancers.

41. Tobacco- Diseases • Cancer - Smokers have increased risk of cancers in the mouth, throat, breast, lungs, and pancreas. Smoking is the most common cause of death from cancer. • Chronic Bronchitis - a condition in which mucus blocks the airways. People with bronchitis must cough to dislodge the mucus • Respiratory Infections - such as colds and pneumonia. Smoking robs the body of vitamin C which helps keep the immune system strong.

42. Tobacco- Diseases • Emphysema - a condition in which the air sacs in the lungs become damaged. Body does not get all the oxygen it needs. 100,000 deaths per year. • Asthma - a chronic inflammatory disease of the airways. Secondhand smoke exposure causes children who already have asthma to experience more frequent and severe attacks. • Coronary Heart Disease- Heart attacks & Strokes.

43. Tobacco- Forms • Cigars, pipe tobacco, snuff, and chewing tobacco, all contain the addictive drug nicotine and can also cause cancer.

44. Tobacco- Ingredients • Carbon Monoxide- in car exhaust • Tars-Dark, sticky mixture of chemicals • Arsenic-week & insect killer • Cyanide-poison, used in gas chamber • Formaldehyde-preservative for the dead • Nicotine- Addictive

45. Tobacco 599 Ingredients -4,000 given off in smoke • 601)AcetanisoleAcetic AcidAcetoinAcetophenone6-Acetoxydihydrotheaspirane2-Acetyl-3- Ethylpyrazine2-Acetyl-5-MethylfuranAcetylpyrazine2-Acetylpyridine3-Acetylpyridine2-AcetylthiazoleAconitic Aciddl-AlanineAlfalfaExtractAllspice Extract, Oleoresin And OilAllylHexanoateAllylIononeAlmond Bitter OilAmbergrisTinctureAmmoniaAmmoniumBicarbonateAmmoniumHydroxideAmmonium Phosphate DibasicAmmoniumSulfideAmylAlcoholAmylButyrateAmylFormateAmylOctanoatealpha-AmylcinnamaldehydeAmyrisOiltrans-AnetholeAngelica Root Extract, Oil and Seed OilAniseAnise Star, Extract and OilsAnisylAcetateAnisylAlcoholAnisylFormateAnisylPhenylacetate

46. Apple Juice Concentrate, Extract, and SkinsApricot Extract and Juice Concentrate1-ArginineAsafetida Fluid Extract And OilAscorbic Acid1-Asparagine Monohydrate1-Aspartic AcidBalsam Peru and OilBasilOilBay Leaf, Oil and Sweet OilBeeswaxWhiteBeet Juice ConcentrateBenzaldehydeBenzaldehydeGlycerylAcetalBenzoicAcidBenzoinBenzoinResinBenzophenoneBenzylAlcoholBenzylBenzoateBenzylButyrateBenzylCinnamateBenzylPropionateBenzylSalicylateBergamotOilBisaboleneBlack Currant Buds AbsoluteBorneolBornylAcetateBuchu Leaf Oil1,3-Butanediol2,3-Butanedione1-Butanol2-Butanone4(2-Butenylidene)-3,5,5-Trimethyl-2-Cyclohexen-1-OneButter, Butter Esters, and Butter OilButylAcetateButylButyrateButylButyrylLactateButylIsovalerateButylPhenylacetateButyl Undecylenate3-ButylidenephthalideButyric AcidCadineneCaffeineCalciumCarbonateCampheneCanangaOilCapsicumOleoresinCaramelColorCarawayOilCarbonDioxideCardamom Oleoresin, Extract, Seed Oil, and PowderCarob Bean and Extractbeta-CaroteneCarrot OilCarvacrol4-Carvomenthenol1-Carvonebeta-Caryophyllenebeta-Caryophyllene OxideCascarilla Oil and Bark ExtractCassia Bark OilCassie Absolute and OilCastoreum Extract, Tincture and AbsoluteCedar Leaf OilCedarwood Oil Terpenes and VirginianaCedrolCelery Seed Extract, Solid, Oil, And OleoresinCelluloseFiberChamomile Flower Oil And ExtractChicoryExtractChocolate

47. CinnamaldehydeCinnamicAcidCinnamon Leaf Oil, Bark Oil, and ExtractCinnamylAcetateCinnamylAlcoholCinnamylCinnamateCinnamylIsovalerateCinnamylPropionateCitralCitricAcidCitronellaOildl-CitronellolCitronellylButyrateCitronellylIsobutyrateCivetAbsoluteClaryOilClover Tops, Red Solid ExtractCocoaCocoa Shells, Extract, Distillate And PowderCoconutOilCoffeeCognac White and Green OilCopaibaOilCoriander Extract and OilCornOilCornSilkCostus Root OilCubeb OilCuminaldehydepara-Cymene1-CysteineDandelion Root Solid ExtractDavana Oil2-trans, 4-trans-Decadienaldelta-Decalactonegamma-DecalactoneDecanalDecanoic Acid1-Decanol2-DecenalDehydromenthofurolactoneDiethyl MalonateDiethyl Sebacate2,3-DiethylpyrazineDihydro Anethole5,7-Dihydro-2-Methylthieno(3,4-D) PyrimidineDill Seed Oil and Extractmeta-Dimethoxybenzenepara-Dimethoxybenzene2,6-DimethoxyphenolDimethyl Succinate3,4-Dimethyl-1,2-Cyclopentanedione3,5- Dimethyl-1,2-Cyclopentanedione3,7-Dimethyl-1,3,6-Octatriene4,5-Dimethyl-3-Hydroxy-2,5-Dihydrofuran-2-One6,10-Dimethyl-5,9-Undecadien-2-One3,7-Dimethyl-6-Octenoic Acid2,4-Dimethylacetophenonealpha,para-Dimethylbenzyl Alcoholalpha,alpha-DimethylphenethylAcetatealpha,alphaDimethylphenethyl Butyrate2,3-Dimethylpyrazine2,5-Dimethylpyrazine2,6-DimethylpyrazineDimethyltetrahydrobenzofuranonedelta-Dodecalactonegamma-Dodecalactonepara-EthoxybenzaldehydeEthyl 10-UndecenoateEthyl 2-MethylbutyrateEthyl AcetateEthylAcetoacetateEthylAlcoholEthylBenzoateEthylButyrateEthylCinnamateEthylDecanoateEthylFencholEthylFuroateEthylHeptanoateEthylHexanoateEthylIsovalerateEthylLactateEthylLaurateEthylLevulinateEthylMaltolEthyl Methyl PhenylglycidateEthylMyristateEthylNonanoateEthylOctadecanoateEthylOctanoateEthylOleateEthylPalmitateEthylPhenylacetateEthylPropionateEthylSalicylateEthyl trans-2-ButenoateEthyl ValerateEthyl Vanillin2-Ethyl (or Methyl)-(3,5 and 6)-Methoxypyrazine2-Ethyl-1-Hexanol3-Ethyl -2 -Hydroxy-2-Cyclopenten-1-One2-Ethyl-3, (5 or 6)-Dimethylpyrazine5-Ethyl-3-Hydroxy-4-Methyl-2(5H)-Furanone2-Ethyl-3-Methylpyrazine4-Ethylbenzaldehyde4-Ethylguaiacolpara-Ethylphenol3-EthylpyridineEucalyptolFarnesolD-FenchoneFennel Sweet Oil

48. Fenugreek, Extract, Resin, and AbsoluteFig Juice ConcentrateFood Starch ModifiedFurfuryl Mercaptan4-(2-Furyl)-3-Buten-2-OneGalbanum OilGenetAbsoluteGentian Root ExtractGeraniolGeranium Rose OilGeranylAcetateGeranylButyrateGeranylFormateGeranylIsovalerateGeranylPhenylacetateGinger Oil and Oleoresin1-Glutamic Acid1-GlutamineGlycerolGlycyrrhizin AmmoniatedGrape Juice ConcentrateGuaiac Wood OilGuaiacolGuar Gum2,4-Heptadienalgamma-HeptalactoneHeptanoic Acid2-Heptanone3-Hepten-2-One2-Hepten-4-One4-Heptenaltrans -2-HeptenalHeptyl Acetateomega-6-Hexadecenlactonegamma-HexalactoneHexanalHexanoic Acid2-Hexen-1-Ol3-Hexen-1-Olcis-3-Hexen-1-Yl Acetate2-Hexenal3-Hexenoic Acidtrans-2-Hexenoic Acidcis-3-Hexenyl FormateHexyl 2-MethylbutyrateHexyl AcetateHexylAlcoholHexyl Phenylacetate1-HistidineHoneyHops OilHydrolyzed Milk SolidsHydrolyzed Plant Proteins5-Hydroxy-2,4-Decadienoic Acid delta- Lactone4-Hydroxy-2,5-Dimethyl-3(2H)-Furanone2-Hydroxy-3,5,5-Trimethyl-2-Cyclohexen-1-One4-Hydroxy -3-Pentenoic Acid Lactone2-Hydroxy-4-Methylbenzaldehyde4-Hydroxybutanoic Acid LactoneHydroxycitronellal6-Hydroxydihydrotheaspirane4-(para-Hydroxyphenyl)-2-ButanoneHyssop OilImmortelle Absolute and Extractalpha-Iononebeta-Iononealpha-IroneIsoamylAcetateIsoamylBenzoateIsoamylButyrateIsoamylCinnamateIsoamylFormateIsoamylHexanoateIsoamylIsovalerateIsoamylOctanoateIsoamylPhenylacetateIsobornylAcetateIsobutylAcetateIsobutylAlcoholIsobutylCinnamateIsobutylPhenylacetateIsobutyl Salicylate2-Isobutyl-3-Methoxypyrazinealpha-Isobutylphenethyl AlcoholIsobutyraldehydeIsobutyric Acidd,l-Isoleucinealpha-Isomethylionone2-IsopropylphenolIsovaleric AcidJasmine Absolute, Concrete and OilKola Nut ExtractLabdanum Absolute and OleoresinLacticAcidLauricAcidLauricAldehydeLavandinOilLavenderOilLemon Oil and ExtractLemongrass Oil1-LeucineLevulinic AcidLicorice Root, Fluid, Extract and PowderLimeOilLinaloolLinaloolOxideLinalylAcetateLindenFlowersLovage Oil And Extract1-LysineMace Powder, Extract and OilMagnesiumCarbonateMalicAcidMalt and Malt ExtractMaltodextrinMaltolMaltylIsobutyrateMandarinOilMaple Syrup and ConcentrateMate Leaf, Absolute and Oilpara-Mentha-8-Thiol-3-OneMentholMenthoneMenthyl Acetatedl-MethionineMethoprene2-Methoxy-4-Methylphenol2-Methoxy-4-Vinylphenolpara-Methoxybenzaldehyde1-(para-Methoxyphenyl)-1-Penten-3-One4-(para-Methoxyphenyl)-2-Butanone1-(para-Methoxyphenyl)-2-PropanoneMethoxypyrazineMethyl 2-FuroateMethyl 2-OctynoateMethyl 2-Pyrrolyl KetoneMethylAnisateMethylAnthranilateMethylBenzoateMethylCinnamateMethylDihydrojasmonateMethyl Ester of Rosin, Partially HydrogenatedMethylIsovalerateMethylLinoleate (48%)Methyl Linolenate (52%) MixtureMethylNaphthylKetoneMethylNicotinateMethylPhenylacetateMethylSalicylateMethyl Sulfide3-Methyl-1-Cyclopentadecanone4-Methyl-1-Phenyl-2-Pentanone5-Methyl-2-Phenyl-2-Hexenal5-Methyl-2-Thiophenecarboxaldehyde6-Methyl-3,-5-Heptadien-2-One2-Methyl-3-(para-Isopropylphenyl) Propionaldehyde5-Methyl-3-Hexen-2-One1-Methyl-3Methoxy-4-Isopropylbenzene4-Methyl-3-Pentene-2-One2-Methyl-4-Phenylbutyraldehyde6-Methyl-5-Hepten-2-One4-Methyl-5-Thiazoleethanol4-Methyl-5-VinylthiazoleMethyl-alpha-IononeMethyl-trans-2-Butenoic Acid4-Methylacetophenonepara-Methylanisolealpha-Methylbenzyl Acetatealpha-Methylbenzyl Alcohol2-Methylbutyraldehyde3-Methylbutyraldehyde2-Methylbutyric Acidalpha-MethylcinnamaldehydeMethylcyclopentenolone2-Methylheptanoic Acid2-Methylhexanoic Acid3-Methylpentanoic Acid4-Methylpentanoic Acid2-Methylpyrazine5-Methylquinoxaline2-Methyltetrahydrofuran-3-One(Methylthio)Methylpyrazine (Mixture Of Isomers)3-MethylthiopropionaldehydeMethyl 3-Methylthiopropionate2-Methylvaleric AcidMimosa Absolute and ExtractMolasses Extract and TinctureMountain Maple Solid ExtractMulleinFlowersMyristaldehydeMyristicAcidMyrrhOilbeta-Napthyl Ethyl EtherNerolNeroliBigarde OilNerolidolNona-2-trans,6-cis-Dienal2,6-Nonadien-1-Olgamma-NonalactoneNonanalNonanoic AcidNonanonetrans-2-Nonen-1-Ol2-NonenalNonyl AcetateNutmeg Powder and OilOak Chips Extract and OilOak Moss Absolute9,12-Octadecadienoic Acid (48%) And 9,12,15-Octadecatrienoic Acid (52%)delta-Octalactonegamma-OctalactoneOctanal

49. Octanoic Acid1-Octanol2-Octanone3-Octen-2-One1-Octen-3-Ol1-Octen-3-Yl Acetate2-OctenalOctyl IsobutyrateOleicAcidOlibanumOilOpoponax Oil And GumOrange Blossoms Water, Absolute, and Leaf AbsoluteOrange Oil and ExtractOriganumOilOrris Concrete Oil and Root ExtractPalmarosaOilPalmiticAcidParsley Seed OilPatchouli Oilomega-Pentadecalactone2,3-Pentanedione2-Pentanone4-Pentenoic Acid2-PentylpyridinePepper Oil, Black And WhitePeppermintOilPeruvian (Bois De Rose) OilPetitgrain Absolute, Mandarin Oil and Terpeneless Oilalpha-Phellandrene2-Phenenthyl AcetatePhenenthylAlcoholPhenethylButyratePhenethylCinnamatePhenethylIsobutyratePhenethylIsovaleratePhenethylPhenylacetatePhenethyl Salicylate1-Phenyl-1-Propanol3-Phenyl-1-Propanol2-Phenyl-2-Butenal4-Phenyl-3-Buten-2-Ol4-Phenyl-3-Buten-2-OnePhenylacetaldehydePhenylacetic Acid1-Phenylalanine3-Phenylpropionaldehyde3-Phenylpropionic Acid3-Phenylpropyl Acetate3-Phenylpropyl Cinnamate2-(3-Phenylpropyl)TetrahydrofuranPhosphoric AcidPimenta Leaf OilPine Needle Oil, Pine Oil, ScotchPineapple Juice Concentratealpha-Pinenebeta-PineneD-PiperitonePiperonalPipsissewa Leaf ExtractPlumJuicePotassium Sorbate1-ProlinePropenylguaetholPropionic AcidPropylAcetatePropylpara-HydroxybenzoatePropylene Glycol3-PropylidenephthalidePrune Juice and ConcentratePyridinePyroligneous Acid And ExtractPyrrolePyruvicAcidRaisin Juice ConcentrateRhodinolRose Absolute and OilRosemaryOilRumRumEtherRyeExtractSage, Sage Oil, and Sage OleoresinSalicylaldehydeSandalwood Oil, YellowSclareolideSkatoleSmokeFlavorSnakerootOilSodiumAcetateSodiumBenzoateSodiumBicarbonateSodiumCarbonateSodiumChlorideSodiumCitrateSodiumHydroxideSolanoneSpearmintOilStyrax Extract, Gum and OilSucroseOctaacetateSugarAlcoholsSugarsTagetesOilTannicAcidTartaricAcidTea Leaf and Absolutealpha-TerpineolTerpinoleneTerpinyl Acetate5,6,7,8-Tetrahydroquinoxaline1,5,5,9-Tetramethyl-13-Oxatricyclo(8.3.0.0(4,9))Tridecane2,3,4,5, and 3,4,5,6-Tetramethylethyl-Cyclohexanone2,3,5,6-TetramethylpyrazineThiamine HydrochlorideThiazole1-ThreonineThyme Oil, White and RedThymolTobaccoExtractsTochopherols (mixed)Tolu Balsam Gum and ExtractTolualdehydespara-Tolyl 3-Methylbutyratepara-Tolyl Acetaldehydepara-TolylAcetatepara-TolylIsobutyratepara-Tolyl PhenylacetateTriacetin2-Tridecanone2-TridecenalTriethyl Citrate3,5,5-Trimethyl -1-Hexanolpara,alpha,alpha-Trimethylbenzyl Alcohol4-(2,6,6-Trimethylcyclohex-1-Enyl)But-2-En-4-One2,6,6-Trimethylcyclohex-2-Ene-1,4-Dione2,6,6-Trimethylcyclohexa-1,3-Dienyl Methan4-(2,6,6-Trimethylcyclohexa-1,3-Dienyl)But-2-En-4-One2,2,6-Trimethylcyclohexanone2,3,5-Trimethylpyrazine1-Tyrosinedelta-Undecalactonegamma-UndecalactoneUndecanal2-Undecanone10-UndecenalUreaValenceneValeraldehydeValerian Root Extract, Oil and PowderValericAcidgamma-ValerolactoneValineVanilla Extract And OleoresinVanillinVeratraldehydeVetiverOilVinegarViolet Leaf AbsoluteWalnut Hull ExtractWaterWheat Extract And FlourWild Cherry Bark ExtractWine and Wine SherryXanthan Gum3,4-XylenolYeast

50. Tobacco-Smokeless • True or False – Smokeless tobacco is safe because you don’t smoke it. • Cancers associated with smokeless tobacco- Tongue, Mouth, Throat cancers