Public Health

Tobacco Truth Gets Smoked

What the government doesn't want you to know about smokeless tobacco

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Upon thinking of someone using "smokeless tobacco," you may immediately think: a vile, disgusting habit with no redeeming social value. That, it turns out, is only half-true. It may be vile and disgusting with a good deal of social value.

Not in an absolute sense. Dipping snuff or chewing tobacco can lead to nicotine addiction, gum disease, and even oral cancer, while scaring off potential employers and romantic partners in droves. But in relative terms—relative to smoking—it could be a boon to individual and public health. Any smoker who gives up cigarettes for snuff is clearly doing his or her body a favor.

That's because most of the danger from tobacco actually comes from setting it afire and inhaling the smoke. Omitting that step makes a huge difference. A 2002 report by Britain's Royal College of Physicians found that "the consumption of non-combustible tobacco is of the order of 10-1,000 times less hazardous than smoking, depending on the product." The American Council on Science and Health puts the overall health risk at about 2 percent of that from sucking on a cancer stick.

The implications are obvious: The best thing a nicotine fiend can do is quit tobacco entirely. For the 46 million Americans who have not been able to follow that advice—a number that has stubbornly refused to shrink—the next best thing is to use the kind of tobacco that doesn't require incineration. The change would also be a blessing to nonsmokers, who would no longer have to put up with noxious fumes and discarded butts.

The Royal College of Physicians can tell you that. I can tell you that. Alvin and the Chipmunks can tell you that. But some people are not allowed to tell you that, namely the people who would be most inclined to take the trouble to spread the message: the people who run tobacco companies.

They would like to. Reynolds American has urged the Food and Drug Administration to "encourage an open, public discussion of the potential reduction in risk that could result from" shifting smokers to non-smoked products. Altria asked the agency to adopt regulations that "provide meaningful pathways for accurate and non-misleading communication about such products to adult tobacco consumers." In other words, let tobacco companies advise consumers that smokeless tobacco is far less risky than cigarettes, a fact that no one disputes.

These corporations make not only cigarettes and snuff but also a new product, snus (rhymes with moose), which provides tobacco in a dissolvable pouch that eliminates the need for unseemly spitting. So they are in a position both to promote smoking cessation and make money off alternatives to cigarettes, giving them a keen incentive to invest in informative ads.

Right now, Americans could use that kind of illumination. A 2005 study in the American Journal of Preventive Medicine found that only 11 percent of smokers who were aware of smokeless tobacco think it is safer than cigarettes, while 83 percent disagree—which is the equivalent of believing it's safer to drive without a seat belt than with one.

Critics, however, see nothing whatsoever to be said for smokeless tobacco. In fact, they want to raise taxes on such products to keep buyers away. They fear that far from serving to move smokers from cigarettes to smokeless tobacco, any ads discussing the comparative dangers will move nonsmokers to become enslaved to nicotine, which in turn will lead them to congregate on the sidewalk, puffing away.

But the evidence points in the other direction. As the popularity of snus rose in Sweden, smoking fell sharply, to the point that Swedes now have the world's lowest smoking rate. Youngsters there who partake of snus are less likely, not more, to take up cigarettes.

The Royal College of Physicians says that "the large majority of U.S. smokeless users do not in fact progress to smoking." And if some American snuff users go on to become smokers, said the group, it may be because they are laboring under the delusion—lovingly preserved by federal policy—that cigarettes are no more harmful than smokeless tobacco.

Right now, American smokers are stumbling around in a dense cloud of ignorance, misinformation, and propaganda. Letting smokeless tobacco companies dispense truth would do a lot to clear the air.

COPYRIGHT 2010 CREATORS.COM

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  1. Good Morning reason!

  2. And this ends the Tim Cavanaugh Show.

    With a smoker in the Oval Office (and the most transparent administration ever), I have to assume we can expect some presidential encouragement toward “open, public discussion” on tobacco.

  3. Steve Chapman has never kicked over a spit cup onto his carpet after a wild party, or he wouldn’t dare make the assertion that chewing is cleaner than smoking.

    1. Chewing is cleaner than smoking. Kicking over a spit cup is not.

      1. But smokers tend to leave little (and sometimes not little) burn holes in stuff.

    2. Pope Jimbo has never responded to a family burned out of their home because of a carelessly-handled cigarette, or he wouldn’t dare make the assertion that smoking is cleaner than chewing, and snus much cleaner than either.

      1. I guess I haven’t had my house burned down by a nefarious smoker. But I have had numerous jackasses spill their spit cups in my house.

        I would counter though, that same family might well poison themselves with chlorine gas if they accidently try to clean up a spit cup spill with a combination of bleach and ammonia.

        Personally, I would still rather rake the bone fragments out of the smoldering ruin of my cigarette palace than deal with a spilt spit cup (and the bloated gassed corpses of the chlorine victims). But it sounds like you disagree. To each their own.

        1. Sounds like you need friends that can manage to keep a cup upright. They sound like the sort of people who would mess up your house no matter what they were doing.

  4. The snus packet is not dissolvable. At least, it’s not supposed to be. When it does come open, it’s a mildly unpleasant mess.

    1. I worked for the company that developed a component of snus.

      You’re right, the packet itself does not dissolve; there is a gelatin-based flavor strip inside that dissolves as the tobacco is saturated with saliva, making the tobacco juice a bit more palatable.

      The idea behind snus is that it’s cleaner, easier to insert and remove, tastes better, and leaves no tobacco grit in the teeth/gums. Nice concept, even though I find tobacco chewing to be an abhorrent habit. I have a friend who is a dedicated chewer, and snus has made his life a bit cleaner. At least when he talks to you, now, there are no wet, brown leafy bits clinging to his yellow choppers.

      1. You’re right, the packet itself does not dissolve; there is a gelatin-based flavor strip inside that dissolves

        Gakk. The snus I use (the real Scandahoovian stuff) has no such component.

        Because I’m a girly man, I use the little packets. Clean as a whistle – no tobacco bits, no spit, nuttin’.

  5. I’ve yet to run into a doctor who’s even heard of snus.

    1. So I guess you could say it was snus to them?

      Sorry.

      1. We like. Do not apologize.

  6. I’m not a nicotine addict, so I can’t relate to much of this snuff stuff; but I do have a serious question for those who can:

    Why not just use a nicotine patch or pill to feed the habit? Is it that controlling the short-term “hit” is essential?

    1. For me personally, I prefer the electronic cigarette. I have smoked for 35 years. I have used the patch, the nicotine gum, chew, snus, snuff and various smokable tobaccos. It all comes down to price for me. The electronic ciggies have proven to be very unreliable and expensive to replace. The gum and the patch are also relatively expensive. Currently, I smoke roll your owns with very cheap tobacco and smoke as much as I need for about 10 bucks a month.

    2. Because I like the taste of snus, that’s why.

    3. Because people who use tobacco generally like tobacco. It is pretty tough to get an addiction off the ground if you don’t actually enjoy the substance or activity you are addicted to.

    4. While were at it let the tobacco companies make the claim but also require them to sale nicotine free tobaccos. By the way I’m a former user, started at 8 quite at 45

      1. They tried, the government blocks that too. only one company even bothers to try to sell cigarettes with less nicotine, and the government won’t let them advertise it as being “better”.

        Of course most of these rules are because of rent-seeking by other tobacco companies.

  7. People are scared shitless of getting throat cancer, that’s why. You ever seen people with throat cancer? It’s one of the most painful forms of cancer. Even if it’s much less common than lung cancer is for smokers, people don’t “see” the black lungs. They see the hole in your throat from surgery and the voice box.

    1. Then its a good thing the cancer risk from snus is nil, unlike American chewing tobacco and snuff.

  8. I think if the Right can be against gay sex because of the ick factor I can be against chewing tobacco for the same reason 😉

    1. If it’s ok for the right to be against gay sex for the ick factor, can I be against old people sex for the ick factor?

    2. Hi, MNG. Welcome to the Reason blog. We’re libertarians around here, neither “right” nor “left.”

      We’re not against ANYTHING because of an “ick factor.” If somebody want’s to do something we consider “icky” that doesn’t hurt us, we’ll fight to the death for their right to do it.

      Stop using the positions of “opposing” statists to rationalize your statism.

      1. But we’ll also not associate with your sodomy loving cigarette smoking ass.

  9. “The change would also be a blessing to nonsmokers, who would no longer have to put up with noxious fumes and discarded butts.”

    Pope Jimbo is right. But it;s not just after parties. I was a bartender in a backwoods area, and my boss banned “chewing” in the place. People used to come in and, instead of asking for an ashtray, would ask for a spitter. We’s have to put a paper towel in a cup.

    Everyone once in a while some drunk chich would pick up the cup and drink it. Bad news.

    Plus, I had to clean up knocked over spitters about 15 times a night.

    Gimme smoking any time.

    1. To repeat: you don’t need to spit if you are using snus.

    2. Sam, did you also run into the following scenario a lot?

      One drunk guy would offer to drink a communal spit cup for $20 or so. Whether because of machismo or poverty?

      I’ve seen that happen too many times myself. I can’t even watch the poor sap do it. It is like having someone puke around you, everyone starts heaving.

      Another old chewing joke:

      Two Norwegians are having a drink in a saloon, one notices a spitoon in the corner. He says to Ole I’ll bet you $100 that you won’t take a sip from there. Ole says O.k. and picks up the spitoon. Half way down Sven shouts for Ole to stop. “You win the bet!” But Ole carries on till every last drop is downed. Sven, still feeling sick said “Why Didn’t You Stop?” Ole said, “I wanted to but it was all in one lump.”

    3. Also when people stop smoking you smell everyone’s B.O.

  10. “IT TIME SNUS-SNUS!”

    1. +1 for Futurama quote!

    2. “The mind is willing, but the flesh is sore and bruised!”

  11. How long before snus films make an appearance in the dark underbelly of cinema?

  12. I think that cigarettes are preferable to people spitting everywhere.

    As for the whole making people quit thing, leave them be. Libertarians are supposed to be for personal freedom, am i right?

    1. Where do you see anyone calling for “making” people do anything?

  13. As much as tobacco is taxed, it has a lot of social value.

  14. I am 43. I have been dipping snuff since I was 10. I started with Skoal and have been exclusively using Copenhagen since I was 17 and out of the Army’s Basic Training.

    I learned to swallow the spit in basic training because it was hardly satisfying to enjoy a 2 minute chew.

    I enjoy the satisfying habit and have no plans to quit. If I am not eating or sleeping you can rest assured I have a refreshing pinch between my cheek and gum.

    It makes developing software and surfing the web better. It is certainly better than getting up and having to brave the elements to have a smoke.

    1. I tried chewing Copenhagen (aka worm dirt) once and ended up heaving everywhere. Never again for me. I could at times chew Beachnut or other long cut stuff, but even a whiff of Copenhagen makes my guts lurch.

      What is the difference between this snus and the old Skoal Bandits? In my high school, Bandits were a good way to get mocked by everyone. The real chewers would ridicule you because you such a wuss and the non-chewers would laugh at your feeble attempt to look like a bad ass.

      Also, all the Norwegians I grew up around in northern MN have called regular chewing tobacco “snuse” since I was a kid (I’m 43 too).

      How can you spot a level headed Norwegian? He has snuse dribbling out both corners of his mouth.

      1. Snus is cured differently, at a lower temperature from other chewing tobacco, so the nasty cancer causing chemicals are not created. Most of the really bad stuff comes from the high temperature curing of most tobacco and the burning of it in cigarettes, etc.

        1. Actually, Swedish process snus is pasteurized, as opposed to fire-cured, so it may not be right to say it’s cured at a lower temperature.

          The scientific literature I’ve read would seem to indicate that the formation of TSNAs (tobacco-specific nitrosamines) is largely governed by bacterial action. Swedish snus (and the newer American products) are pasteurized, sealed in the cans, and then refrigerated in the supply chain. Even when kept without refrigeration, TSNA formation seems to be quite low if the container isn’t opened.

          The Swedes also decided to regulate tobacco additives from a list not unlike (if not identical) to the one they use for approved food additives, and require disclosure (at least to the level of the EU’s general ingredient category identifiers) of everything added to flavor the product.

  15. Where do “e-cigarettes” fit into all of this? They seem to me to be an even better alternative to the real thing.

    1. There is absolutely no quality control in the E-cigarette market due to it being in a gray legal area. They are an awesome product, but they’re as unreliable as anything else that comes from a no name brand in China. The big companies are holding off, since it’s more likely for the e-cigarette to be made illegal than supported by the FDA.

  16. I can chew it with a goose.
    I can chew it with a moose.
    I can chew it here and there.
    I can chew it anywhere!

    Little Dr. Snus for you all……

    1. Disregard that, I am not funny.

  17. It is not enough that you should quit smoking, Winston. The party does not insist that you be healthier – it merely demands that you be willing to suffer in the name of health. Plainly you will see this is not the same thing.

    Only a solipsist would imagine that quitting was about quitting. It isn’t. The point of quitting is that the party should impose its discipline upon you, and that you should be made to show gratitude for it.

  18. The big companies are holding off, since it’s more likely for the e-cigarette to be made illegal than supported by the FDA.

    In a world where up is down, yes, that is probably true.

    Why not just use a nicotine patch or pill to feed the habit?

    Because half the enjoyment comes from whatever rituals you’re following.

  19. snuss is even safer.

  20. I’m sucking an E-cig right now and it works great,I smoked for 30 yrs and quit easily with my rn 4081 style cig.If you do a bit of research you can find reliable E-cigs,as for cost?after the initial 50$ I spend about 10$ month for nicjuice,that is until the EPA,FDA get their hands on them

  21. You wanna buy some deathsticks?

  22. I gave up cigarettes for snus in September of 2007. I go through a can of portions every two days or so. It got me to quit my 2 pack per day habit completely. I still smoke a pipe in the winter months, but other than that I’ve been smokeless.

    I will personally vouch for the fact that snus requires no spitting. Really, there’s not much to spit. You just stick the portion in your upper lip and leave it there. I hit it with my tongue every so often to get a little bit of flavor and when I’m done, I just spit out the portion. It fully satisfies my need for nicotine in a very discreet way. I use it in school, at work, at the bar, at restaurants… anywhere. Nobody seems to notice. (However, this may be due to the fact that I have a mustache and a beard.)

    My dentist has reported no damage to my mouth thus far. No gum recession, no leukoplakia, no staining of the teeth… absolutely nothing. My doctor was very happy that I had quit smoking and told me that the risk involved with snus, according to the studies he looked at after I initially mentioned the stuff, was extremely minimal.

    I love snus. It’s saved me a lot of money and a lot of breath. It completely eliminated my need for cigarettes and I encourage any interested parties to read some studies and give it a try. Just promise me you’ll try the real stuff from Sweden and not this imitation crap that Camel and Marlboro have on the market. In case anybody is curious, I primarily use Ettan white portions but I’ve also been known to use the loose from time to time.

    Great article. Glad to see Reason weighing in on this issue.

  23. A nice helping of Skoal has like 5 times the buzz as a filtered cigarette.

  24. Later this year, Apple, Inc., will be coming out with the safest alternative of all, the iCig, a purely computer-based smoking simulator with no known health affects, whatsoever. It can even be downloaded to your iPhone or iPod Touch, so that you can enjoy it even on airplanes, or in hospital rooms.

    “There’s an app for that!”

  25. I also use Swedish snus (I’m a General’s Ekstra Sterk man, myself), and it’s been the only thing that helped me drop my pack-a-day smoking habit. I tried the patch (too expensive and kept falling off), the gum (made me nauseous and again, too expensive), hypnosis (total scam, imho, and too expensive) and cold turkey (ever see a nice Jewish boy morph into Adolph Hitler? It ain’t pretty.) I never tried Chantix or any other pill (way too spendy, and the side affects sound too risky). The only thing that has really worked for me was Swedish snus (not that bastardized Camel crap, the real snus).
    My girlfriend doesn’t particularly like that I do it, but she’s happy that I quit smoking (I don’t smell like smoked ass anymore, she says), so she doesn’t try and stop me.
    Frankly, I’d rather snus than run the risk of contracting snme nasty smoking-related disease.

  26. This reminds me of the study Reason linked to a few months ago on how the best treatment for heroin addiction was heroin, as opposed to methodone and other treatments. But the powers that be refuse to endorse such treatments, because it doesn’t sufficiently punish people for getting addicted. After all moral preening by the holier than thous is more important than helping people.

  27. I’m a smoker; I’ll consider giving smokeless a try. Thanks for the heads up.

  28. I have in front of me a can of “Red Seal” long cut natural, chewing tobaccy. On the side of the can it reads “Warning: This product is not a safe alternative to cigarettes”. Not only are the smokeless tobacco companies not able to advertise having a less harmful product, they are required under federal regulation to state the opposite. How asinine is that?

    PS California moves bill to debate, to legalize marijuana for recreational use and tax! Maybe Kalifornia will actually produce a precedent that is good for the country? Maybe the failed socialist state will get something right for once?

  29. I’m an inveterate Nicotine addict.
    Smoked since I was 11 years old and continue off and on to this day.
    Smokeless has been the only way I’ve been able to cut down on cigs. Nasal Snuff, Swedish Snus, good old Copenhagen, you name it.
    I get a little wheezy and upset with people who say “Nicotine is addictive so it’s a bad drug”. Obviously getting hooked on the stuff ain’t great, but it does have a few benefits. It helps me focus, keeps me alert…. These plants/drugs are around for a reason. THEY’RE HELPFUL!
    Whether it’s Caffeine or Cannabis or Nicotine, these are natural substances that assist us to feel at our best.
    If society could get over the Bullcrap and simply be honest about the fact that Humans use these drugs as part and parcel of our existence and not vilify any of them, life would be a lot less bloody complicated.

  30. My best childhood friend started chewing at age 14 he liked both Skoal and Copenhagen.

    He usually called it “snoose”, and also “chew”.

    “Snus” looks like a creative and new way to enjoy “Snoose”

    Alas, the Nanny State rears its head yet again.

    Despite the evidence, it requires this misleading statement to be printing on every can o’ chew:

    “Warning: This product is not a safe alternative to cigarettes”

    Fortunately, adults can still do *some* adult things in this land – and ignore the Nanny State.

  31. Gay whales enjoy gay dolphin shemales.

  32. I’ve been using Swedish Snus for the last ten months. It helped me to quit a 40 year cigarette smoking habit. I’ve been exercising daily and have lost 30 pounds in that same time. At 57, I feel years younger.

    Snus is discreet (no one knows I use it except my girlfriend and she is just happy I don’t smoke any more), spitless, and very enjoyable. My dentist says my mouth is in great shape. I agree with the poster who said to avoid the American-made Snus (Camel, etc.) – it doesn’t have the quality control or the nicotine content that Swedish Snus has. I’m just sorry I didn’t find out about this product years ago. If you are a smoker trying to quit a very nasty habit, I highly recommend Snus. It can be ordered over the internet from Sweden or from a couple of places based in the US. In my opinion, a much cheaper, cleaner, and healthier alternative to cigarettes, cigars or American-made smokeless tobacco. If you smoke and/or enjoy nicotine, ignore the nanny staters and government nay-sayers and give snus a try.

  33. Quit smoking and run the risk of becoming a Swede? No thanks. Some fates are far worse than death even by cancer.

  34. My only point is that if you take the Bible straight, as I’m sure many of Reasons readers do, you will see a lot of the Old Testament stuff as absolutely insane. Even some cursory knowledge of Hebrew and doing some mathematics and logic will tell you that you really won’t get the full deal by just doing regular skill english reading for those books. In other words, there’s more to the books of the Bible than most will ever grasp. I’m not concerned that Mr. Crumb will go to hell or anything crazy like that! It’s just that he, like many types of religionists, seems to take it literally, take it straight…the Bible’s books were not written by straight laced divinity students in 3 piece suits who white wash religious beliefs as if God made them with clothes on…the Bible’s books were written by people with very different mindsets…in order to really get the Books of the Bible, you have to cultivate such a mindset, it’s literally a labyrinth, that’s no joke.

  35. My only point is that if you take the Bible straight, as I’m sure many of Reasons readers do, you will see a lot of the Old Testament stuff as absolutely insane. Even some cursory knowledge of Hebrew and doing some mathematics and logic will tell you that you really won’t get the full deal by just doing regular skill english reading for those books. In other words, there’s more to the books of the Bible than most will ever grasp. I’m not concerned that Mr. Crumb will go to hell or anything crazy like that! It’s just that he, like many types of religionists, seems to take it literally, take it straight…the Bible’s books were not written by straight laced divinity students in 3 piece suits who white wash religious beliefs as if God made them with clothes on

  36. These corporations make not only cigarettes and snuff but also a new product, snus (rhymes with moose), which provides tobacco in a dissolvable pouch that eliminates the need for unseemly spitting. So they are in a position both to promote smoking cessation and make money off alternatives to cigarettes, giving them a keen incentive to invest in informative ads.

  37. I get a little wheezy and upset with people who say “Nicotine is addictive so it’s a bad drug”. Obviously getting hooked on the stuff ain’t great, but it does have a few benefits. It helps me focus, keeps me alert…. Thesereplica omega plants/drugs are around for a reason. THEY’RE HELPFUL!
    Whether it’s Caffeine or Cannabis or Nicotine, these are natural substances that assist us to feel at our best.

  38. My only point is that if you take the Bible straight, as I’m sure many of Reasons readers do, you will see a lot of the Old Testament stuff as absolutely insane. Even some cursory knowledge of Hebrew and doing some mathematics and logic will tell you that you really won’t get the full deal by just doing regular skill english reading for those books. In other words, there’s more to the books of the Bible than most will ever grasp. I’m not concerned that Mr. Crumb will go to hell or anything crazy like that! It’s just that he, like many types of religionists, seems to take it literally, take it straight…the Bible’s books werereplica IWC not written by straight laced divinity students in 3 piece suits who white wash religious beliefs as if God made them with clothes on

  39. We are a supplier for so called electric cigarettes. If you would see how many obstacles we have to fight to sell this much cleaner device to smokers to get them rid of thousands of poisoned substances in the cigarette smoke.
    Authorities protect the tobacco industry obviousoly, maybe for tax reasons. And therefore they combat against electric cigarettes, which could save lifes. Ist?t that strange?

  40. Critics, however, see nothing whatsoever to be said for smokeless tobacco. In fact, they want to raise taxes on such products to keep buyers away. They fear that far from serving to move smokers from cigarettes to smokeless tobacco, any ads discussing the comparative dangers will move nonsmokers to become enslaved to nicotine, which in turn will lead them to congregate on the sidewalk, puffing away.

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  42. Snus is actually unobtrusive (no one particular is aware of POST utilize it with the exception our significant other in addition to nancy only content POST never smoke a pipe virtually any more), spitless, in addition to quite exciting. Our dental professional states that our mouth area is due to good design. POST consider that poster which told stay away from that American-made Snus (Camel, for example. ) : this doesn’t happen contain the excellent manage as well as that support articles which Swedish Snus offers. I am only remorseful POST failed to be familiar with this specific supplement prohibited. If you’re any barbecue equipment looking to give up an exceptionally challenging routine, POST remarkably propose Snus. It really is obtained via the internet through Sweden as well as through several locations established the united states. For me, any considerably less expensive, better, in addition to better replacement for tobacco, matches as well as American-made electronc bad. In case you smoke a pipe and/or delight in support, disregard that childcare professional staters in addition to govt nay-sayers in addition to present snus any have a shot at.Finnish Lapphund

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