"Adverse outcomes were identified in five of 17 live births: one baby had birth asphyxia and recurrent chest infections, one had gastro-oesophageal reflux, one was diagnosed with ankyloglossia and two had feeding difficulties." August 14, 2013 - Researchers in India, with a smokeless tobacco use rate of 20%, conducted a placebo controlled trial of varenicline among 237 smokeless tobacco users
Note that there is no "Prince Albert Choice" listed as one of their products on the John Middleton web site
Pieiro B, Correa JB, Simmons VN, Harrell PT, Menzie NS, Unrod M, et al
Czekala L, Simms L, Stevenson M, Tschierske N, Maione AG, Walele T
Oral squamous cell carcinoma is a type of oral cancer that accounts for more than 90% of all oral cancers 9