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We know that genetic variations make it more likely that some people will smoke more and that many will have a harder time quitting, explained Laura Jean Bierut, MD, the Alumni Endowed Professor of Psychiatry

Bangladesh, Maldives, Myanmar, Nepal, and Thailand, all have a greater smoking prevalence than Sri Lanka 12

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Chew, as it's often called, is closely associated with mouth, throat and pancreatic cancer as well as heart disease, gum disease and tooth loss