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Mixture of betel leaf, areca nut and tobacco chewing is a risk factor for cytogenetic damage in construction workers from south India

In ancient Greece, the plant was often associated with the god Dionysus and symbolized the thrill of transformation and celebration

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It is not clear how to reconcile these apparently contradictory findings, but if they reflect true causal associations, it is possible that EC use could have opposing effects for different groups of people, possibly depending on their initial symptom severity