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Which misconception about the effects of smokeless tobacco is false?

  1. It can lead to mouth cancer

  2. It does not affect athletic performance

  3. It causes bad breath

  4. It may cause gynecomastia

The correct answer is: It does not affect athletic performance

The assertion that smokeless tobacco does not affect athletic performance is false because numerous studies have shown that smokeless tobacco can have negative effects on physical performance. The intake of smokeless tobacco can lead to various detrimental health effects, such as decreased lung capacity and cardiovascular issues, which ultimately hinder an athlete's endurance and overall physical capabilities. Additionally, the addiction potential of nicotine within smokeless tobacco can impair focus, recovery times, and motivation, further impacting an athlete's ability to train and compete effectively. In contrast, the other statements reflect accurate concerns associated with smokeless tobacco use. For instance, it is well-documented that smokeless tobacco can increase the risk of oral cancers, cause persistent bad breath due to its ingredients, and, while more controversial and less common, there are reports linking it to hormonal changes that could cause gynecomastia. Each of these consequences highlights the health risks posed by smokeless tobacco, thereby confirming that the misconception about its lack of effect on athletic performance is indeed false.