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The smoke may be inhaled, as is done with cigarettes, or released from the mouth, as is done with pipes and cigars

Clinico-epidemiological profile of oral potentially malignant and malignant conditions among areca nut, tobacco and alcohol users in Eastern India: A hospital based study

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Peer review Peer review information Nature Communications thanks Saman warnakulasuriya, Peter Lee and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

Other big buyers, according to the Dip Doctor, include soldiers, MMA fighters, football players, and the occasional Hollywood star (Ashton Kutcher and Zach Galifianakis among them)