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It is the most injurious because tobacco is put right into the mouth and the nicotine poison in the tobacco is absorbed that way through the paper. The physicians study concluded with the following warning, A man would be a great deal better off if he would let tobacco alone

Someone trying to get off tobacco chewing could chew a mixture of tobacco and betel leaf, gradually reducing the amount of tobacco over the course of a month

There is a higher concentration of nicotine in it, Meckstroth said

Betel leaf versus tobacco / Tobacco chewing, also known as "smokeless tobacco", is a habit that affects about 3 per cent of the US population, with more chewers in the Southern states and a majority of chewers being young adults