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Areca nut, commonly chewed on its own or combined with other substances like betel leaf and tobacco, is considered a carcinogen by the World Health Organization, yet remains a socially accepted practice in many parts of the country
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Tobacco use is now recognised as a significant risk factor for ED, with the 2014 US Surgeon Generals report stating that smoking causes erectile dysfunction [5]
10.1016/j.addbeh.2004.04.008
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