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In those regions, several premade SLT products (gutka, mawa, mainpuri, and some zarda products) and custom-made products (betel quid, dohra, tombol) contain areca nut, the seeds of the Areca palm (Areca catechu)

Until we have a better understanding of its impact, I think any new marketing of this sort should also make clear that using snuff comes with other important health risks even if lung cancer isn't the biggest one

If an individual already has a mouth lesion with elevated FOXM1 levels, using nicotine-containing products could potentially increase the likelihood of that lesion progressing into cancer

& Hussain, Q