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"Often male teenagers in rural communities are accustomed to seeing smokeless tobacco use among role models, such as their fathers and grandfathers, older brothers and community leaders," he told reporters

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However, participants hospitalized during the study period, and those with serious illnesses and provisionally diagnosed with a malignancy, mental illness, congenital disease, and/or physical disability were not included in our study

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"We give the betel nut and we look at the heart rate [and] the heart rate will jump," Sir Isi said

85.8 percent of users have also smoked cigarettes at some point in their life