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"If you really want to spread a good paan ," he says, "it will take at least 10 minutes, but the chewing tobacco comes ready-made." Paan is also more expensive than tobacco about 45 cents for a basic sweet paan , versus less than a penny for a dose of gutka

This oxidative stress breaks down the skin's natural protective barrier, making it more susceptible to UV rays and pollution damage

While people may chew tobacco to reduce how much they smoke or cut out smoking altogether, chewing tobacco is still a The safest option is to go nicotine free and cut out all forms of tobacco, even for people who do not smoke it

Providing detailed local evidence for the first time, this new research shows the harm is worse than indicated by the previous estimates of smoking-caused death of around 15,000 to 21,000 deaths a year

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